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Pennsylvania 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
$104.71 / $114.82 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $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 / $147.91 / $302.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $199.53 / $223.87
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $218.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $114.82 / $17,782.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $177.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $194.98 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $158.49