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Maryland 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
$100.40 / $100.40 / $100.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $107.92
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.56 / $215.56 / $215.56
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 / $124.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $98.11 / $139.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $103.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.57 / $93.57 / $128.52