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Virginia 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 / $103.01 / $103.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $103.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $130.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.56 / $215.56 / $215.56
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 / $98.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $98.11 / $127.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.11 / $103.01 / $179.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $165.00 / $165.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.21 / $236.52 / $346.13
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.21 / $236.52 / $346.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.11 / $98.11 / $107.89