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Microlyte Matrix

Montana rates for HCPCS A2005

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

Rates data updated July 2026.

Facilitymedian $447 · 10th–90th $178$4570%50%10th90th$447Professionalmedian $162 · 10th–90th $126$4470%10%20%10th90th$162$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$162.18
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$416.87
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$416.87
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$467.74
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$204.17
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$691.83
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89