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Louisiana rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.59 / $83.27 / $88.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.59 / $84.08 / $103.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.37 / $121.37 / $121.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,366.96 / $1,438.66 / $1,586.12