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New York 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
$114.82 / $134.90 / $27,542.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $181.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $16.98 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $436.52 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $302.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $199.53 / $501.19
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $199.53 / $257.04
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $223.87 / $223.87
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $223.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $173.78
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $223.87 / $223.87
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $223.87