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Michigan rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.50 / $81.50 / $81.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $81.50 / $111.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.09 / $4.09 / $4.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.50 / $81.50 / $81.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.36 / $81.50 / $111.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,526.42