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Pennsylvania rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.88 / $66.88 / $73.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $73.04 / $418.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $967.00 / $967.00
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.88 / $66.88 / $73.04
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $73.04 / $390.18
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,062.39 / $1,062.39 / $1,062.39
Priority Health
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 / $1,986.79