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Oklahoma 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
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $173.78
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 / $302.00 / $302.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $173.78