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Kentucky 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
$98.11 / $98.11 / $98.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $99.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.12 / $98.11 / $98.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $137.35 / $156.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $107.92 / $142.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $240.04 / $240.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $200.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $102.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $136.80