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Minnesota rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $76.34 / $76.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.80 / $76.34 / $114.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.95 / $1.00 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.01 / $347.56 / $490.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.39 / $1,062.39 / $1,062.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.34 / $2,212.51 / $2,708.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $3,300.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $2,608.00