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Texas 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
$131.83 / $151.36 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $131.83 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $14.13 / $31.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $18,197.01 / $18,197.01
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $1,548.82 / $1,548.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,995.26 / $1,995.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $144.54 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $147.91 / $223.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $151.36 / $295.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $125.89