Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC (SUP SHELL Q4138) BIODFENCE DRYFLEX, 1CM
Low
$156
Average
$156
Median
$156
High
$156
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4 hospital rates
iThe hospitals that file a Carefirst rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 2 | $156 | $156 | — | — | — | $156 – $156 |
| 2 | STONESPRINGS HOSPITAL CENTER Dulles, VA fee schedule · outpatient | 2 | $156 | $156 | — | — | — | $156 – $156 |
| 3 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $156 | $156 | — | — | — | $156 – $156 |
| 4 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 2 | $156 | $156 | — | — | — | $156 – $156 |
← Payers reporting HCPCS Q4138 · Snapshot 20261111T120946Z-9134e7f7