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Georgia rates for HCPCS A2015

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $83.18 / $112.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $1,380.38 / $1,380.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,548.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $1,096.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $186.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,818.38 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $1,445.44 / $1,445.44