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Microlyte Matrix

Wisconsin rates for HCPCS A2005

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

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $155$7240%10%10th90th$275Professionalmedian $257 · 10th–90th $126$6920%10%10th90th$257$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$154.88
Median
$154.88
Typical High
$154.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$162.18
Typical High
$213.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$426.58
Typical High
$891.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$398.11
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$144.54
Typical High
$181.97
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$389.05
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$229.09
Typical High
$562.34
Medica
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$64.57
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$186.21
Typical High
$389.05
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$616.60
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$1,148.15
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$446.68
Typical High
$1,230.27
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$151.36