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Ohio 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
$106.05 / $106.05 / $16,603.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.26 / $106.05 / $151.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.06 / $7.06 / $149.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.60 / $421.69 / $515.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.58 / $200.58 / $200.58
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,294.70 / $1,294.70 / $1,294.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.22 / $342.87 / $425.50