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California 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
$1,245.00 / $1,245.00 / $1,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,245.00 / $1,275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.51 / $1,020.00 / $1,200.00
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $393.93 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,425.00 / $3,000.00 / $5,130.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,250.00 / $5,700.00 / $6,156.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $1,500.00 / $2,204.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,275.00 / $1,275.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $2,662.25