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Missouri 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
$76.40 / $179.02 / $179.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.40 / $106.05 / $179.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.54 / $170.06 / $222.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.07 / $179.02 / $515.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.58 / $342.87 / $923.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.73 / $342.87 / $396.70