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Ohio rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.95 / $562.95 / $918.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $418.29 / $562.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.38 / $59.38 / $59.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,455.70 / $1,455.70 / $1,511.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.39 / $1,062.39 / $1,062.39
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,785.38