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Microlyte Matrix

New Hampshire rates for HCPCS A2005

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

Rates data updated July 2026.

Facilitymedian $209 · 10th–90th $132$3,9810%20%10th90th$209Professionalmedian $178 · 10th–90th $126$2880%20%10th90th$178$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$234.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$194.98
Typical High
$234.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$5,754.40