go back

Arizona rates for HCPCS A2001

InnovaMatrix AC, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $1,215.00 / $13,725.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,215.00 / $1,245.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,017.60 / $2,404.08 / $5,945.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.50 / $1,272.00 / $3,005.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.00 / $1,275.00 / $1,275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,215.00 / $1,397.25 / $2,466.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $2,712.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $1,250.00