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Louisiana 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
$120.23 / $134.90 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $18,197.01
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 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $173.78 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $125.89 / $173.78