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New York 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
$72.81 / $73.04 / $114.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.07 / $86.21 / $114.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.42 / $53.44 / $90.85
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,619.16 / $1,619.16 / $1,619.16
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $1,062.39 / $1,062.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $2,157.98