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Virginia 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 / $25,118.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $14.79
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $151.36 / $239.88
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $151.36 / $239.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $109.65
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $186.21 / $741.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $186.21 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $134.90