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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
$108.51 / $108.51 / $108.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.36 / $106.91 / $108.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $147.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.91 / $112.26 / $551.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.02 / $342.87 / $923.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.87 / $342.87 / $378.08