go back

Hawaii rates for HCPCS Q4138

BioDFence DryFlex, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $99.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.44 / $98.11 / $112.28
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.45 / $143.05 / $164.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.92 / $117.73 / $137.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.44 / $101.05 / $147.16