go back

Iowa 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
$144.54 / $144.54 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $169.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $245.47 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $181.97
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $275.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $186.21 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $263.03 / $416.87
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $257.04 / $302.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.17 / $173.78 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80