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Arizona rates for HCPCS A2002

Mirragen Advanced Wound Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $245.47 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $251.19 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $144.54 / $549.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $288.40 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78