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Ohio 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 / $98.11 / $350.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $101.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $112.04 / $190.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $98.11 / $166.79
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $132.44
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 / $200.03
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.04 / $240.04 / $240.04
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $165.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $127.74