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Louisiana 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 / $99.09 / $101.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $99.09 / $107.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.69 / $103.69 / $155.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.69 / $103.69 / $105.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $92.55 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.22 / $98.11 / $119.69