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Indiana rates for HCPCS Q4138

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.09 / $99.09 / $101.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $101.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $189.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $139.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $147.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $117.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $200.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $131.06