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Nevada rates for HCPCS A2005

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $263.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $194.98 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $125.89 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $223.87 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $223.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $162.18 / $223.87
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $128.82 / $131.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $128.82