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Delaware rates for HCPCS A2005

Microlyte Matrix, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.03 / $187.99 / $221.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $216.38 / $216.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.38 / $254.57 / $560.04