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New Hampshire rates for HCPCS Q4138

Biodfence Dryflex Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.40 / $100.40 / $120.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $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 / $98.11 / $98.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $98.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $142.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $235.46
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.03 / $220.03 / $280.04