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Missouri 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
$101.05 / $282.39 / $296.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $100.07 / $117.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
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 / $124.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.41 / $152.79 / $287.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.26 / $100.40 / $1,073.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $119.99