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Missouri 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
$1,200.00 / $1,575.00 / $14,448.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.00 / $1,200.00 / $1,275.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$766.52 / $972.22 / $1,269.81
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
$1,200.00 / $1,380.00 / $2,904.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $5,250.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,250.00 / $1,250.00 / $1,470.00