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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
$108.87 / $134.11 / $142.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.80 / $134.11 / $149.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.07 / $211.07 / $316.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.07 / $211.07 / $215.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,323.62 / $10,323.62 / $10,323.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.77 / $342.87 / $411.44