Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
MATRIX WND MIRRAGEN 10.2X10.2/104SQCM
Arlington, TX
See all hospitals reporting HCPCS A2002 →Price type
AMH Cath Labs LLC’s median price of $34 is 82% below the median hospital's median price ($189), higher than 13% of the 769 hospitals reporting HCPCS A2002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $1 | 18% | — | $3 – $5 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $1 | 18% | — | $3 – $5 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $1 | 18% | — | $4 – $6 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $1 | 18% | — | $4 – $6 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $5 | $1 | 18% | — | $4 – $6 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $16 | $15 | $3 | 18% | — | $11 – $18 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $22 | $21 | $4 | 18% | — | $16 – $25 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $25 | $24 | $4 | 18% | — | $18 – $28 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $28 | $26 | $5 | 18% | — | $20 – $32 |
| 10 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $28 | $27 | $5 | 18% | — | $20 – $32 |
| 11 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $30 | $28 | $5 | 18% | — | $21 – $34 |
| 12 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $30 | $28 | $5 | 18% | — | $21 – $34 |
| 13 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $30 | $28 | $5 | 18% | — | $22 – $34 |
| 14 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $38 | $36 | $7 | 18% | — | $27 – $43 |
| 15 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $38 | $36 | $7 | 18% | — | $27 – $43 |
| 16 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $38 | $36 | $7 | 18% | — | $27 – $43 |
| 17 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $38 | $36 | $7 | 18% | — | $27 – $43 |
| 18 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $40 | $38 | $7 | 18% | — | $29 – $46 |
| 19 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $45 | $42 | $8 | 18% | — | $32 – $51 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $47 | $45 | $8 | 18% | — | $34 – $54 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $47 | $45 | $8 | 18% | — | $34 – $54 |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $51 | $48 | $9 | 18% | — | $37 – $58 |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $51 | $48 | $9 | 18% | — | $37 – $58 |
| 24 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 25 | Humana medicare advantage case rate · outpatient | $130 | $130 | — | — | — | $130 – $130 |
Last updated: Apr 21, 2026
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