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Microlyte Matrix

Texas rates for HCPCS A2005

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

Rates data updated July 2026.

Facilitymedian $145 · 10th–90th $1$4680%10%10th90th$145Professionalmedian $186 · 10th–90th $126$2510%20%10th90th$186$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
$186.21
Median
$204.17
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$251.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.95
Typical High
$4.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$120.23
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$316.23
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$1,148.15
Typical High
$1,148.15
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$2,238.72
Typical High
$2,238.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$199.53
Typical High
$389.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$234.42
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$416.87
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$120.23
Typical High
$169.82