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North Carolina 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
$200.03 / $200.03 / $200.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $200.03 / $200.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $64.92 / $71.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.55 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $200.03
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.27 / $204.85 / $310.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.85 / $204.85 / $204.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.00 / $141.00 / $141.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $127.54
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.04 / $240.04 / $413.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.40 / $635.40 / $1,270.80