go back

Phoenix Wound Matrix

Montana rates for HCPCS A2015

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

Rates data updated July 2026.

Facilitymedian $186 · 10th–90th $115$3090%50%10th90th$186Professionalmedian $112 · 10th–90th $58$5370%10%10th90th$112$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$91.20
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$724.44
Typical High
$724.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$724.44
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$199.53
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$186.21
Typical High
$199.53
Providence
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$177.83
Typical High
$724.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$125.89
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89