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South Carolina 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
$138.04 / $138.04 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.83 / $173.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $125.89 / $151.36
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $158.49 / $263.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $120.23 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $125.89 / $173.78