| Code | Description | States | Median rate |
|---|---|---|---|
| A2001 | Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2002 | Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2005 | Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2006 | Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2007 | Restrata, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2008 | Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2009 | Symphony, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2010 | Apis, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2011 | Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $108.05 |
| A2012 | Suprathel, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2013 | Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $108.05 |
| A2015 | Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $108.05 |
| A2016 | Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $108.05 |
| A2018 | Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $108.05 |
| A2019 | Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure) | 13 | $103.91 |
| A2021 | Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $103.91 |
| A2022 | Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $112.18 |
| A2024 | Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $108.05 |
| A2025 | Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure) | 11 | $112.18 |
| A2027 | Matriderm, per square centimeter (add-on, list separately in addition to primary procedure) | 12 | $93.70 |
| A2029 | Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure) | 12 | $93.70 |
| A2031 | Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $83.49 |
| A2032 | Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $82.32 |
| A2034 | Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure) | 10 | $82.32 |
| A2036 | Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $83.49 |
| A2038 | Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $83.49 |
| A2039 | Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure) | 11 | $83.49 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.