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New Jersey 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
$134.90 / $22,387.21 / $24,547.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $177.83
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $229.09
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $9,332.54 / $14,454.40
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78