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California rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.60 / $1,344.60 / $1,344.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,344.60 / $1,377.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.67 / $1,059.69 / $1,296.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $393.93 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,539.00 / $3,240.00 / $5,737.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,814.00 / $6,156.00 / $6,885.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,620.00 / $2,381.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,620.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $2,563.38