Aroa Biosurgery Keeps a US$127.14 Medicare Rate for Symphony in 2027

Aroa Biosurgery's Symphony outpatient reimbursement stays at US$127.14 per square centimetre in 2027, after the US health insurer CMS confirmed its final rules and added a new rate for doctors' offices.
By Josua Ferreira -
  • CMS confirmed the US$127.14 per square centimetre payment rate for AROA ECM sheet products will continue in 2027.
  • The rate applies to Symphony in hospital outpatient departments, day surgery centres and doctors' offices.
  • From 1 January 2027, the same US$127.14 rate covers non-sheet products in doctors' offices, opening a path for morcellised versions.
  • Symphony's trial showed 55% of diabetic foot ulcer patients had full wound closure at 12 weeks, against 35% for standard care.
  • Myriad, used in hospital inpatient care, remains the company's primary focus and is unaffected by these outpatient changes.
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US CMS confirms US$127.14 outpatient payment rate for AROA ECM™ sheet products in 2027

The US Centers for Medicare & Medicaid Services (CMS) published its final reimbursement rules for calendar year 2027 on 4 November, and the existing payment rate of US$127.14 per square centimetre of wound area treated will continue in 2027. Aroa Biosurgery Limited (ASX: ARX) said the outcome provides reimbursement stability and certainty for AROA ECM™ sheet products in outpatient settings.

The company said the rate applies to Symphony™ in hospital outpatient departments, ambulatory surgical centres and physician offices. This is consistent with the proposed framework outlined in AROA’s 14 July 2026 announcement.

Brian Ward, Founder and CEO

“We welcome the greater payment certainty these rules provide for healthcare providers and hospitals following significant change in outpatient reimbursement. Symphony is well positioned in this environment, supported by compelling clinical evidence and responsible pricing.”

New national payment rate for non-sheet products in physician’s offices

From 1 January 2027, a national product payment rate of US$127.14 per square centimetre will apply to non-sheet products in physician’s offices. Payment is based on the wound area treated in square centimetres.

CMS Regulatory & Reimbursement Timeline

The company said this creates a new opportunity for morcellised versions of AROA ECM™.

AROA also set out the following context:

  • Myriad in the hospital inpatient setting remains its primary focus, where reimbursement is well established and unaffected by these outpatient changes.
  • Recent changes in outpatient reimbursement support the opportunity for Symphony.
  • AROA believes Symphony’s responsible pricing, supported by its recently published randomised controlled trial, positions it well for adoption in the outpatient setting.

The published randomised controlled trial reported complete wound closure in 55% of diabetic foot ulcer patients at 12 weeks versus 35% for standard care alone, giving Symphony Level I evidence in the outpatient market.

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Frequently Asked Questions

What is the CMS payment rate for Aroa Biosurgery's Symphony in 2027?

CMS confirmed the existing rate of US$127.14 per square centimetre of wound area treated will continue in 2027. It applies in hospital outpatient departments, day surgery centres and doctors' offices.

What is CMS and why does it matter for wound care companies?

CMS is the US Centers for Medicare & Medicaid Services, the government body that sets what it pays for treatments. Its payment rates decide how much providers are reimbursed for products like AROA ECM sheets.

What changes for non-sheet products in doctors' offices from 1 January 2027?

A national payment rate of US$127.14 per square centimetre will apply to non-sheet products in doctors' offices. Aroa Biosurgery says this creates a new opening for morcellised versions of AROA ECM.

What did the Symphony diabetic foot ulcer trial show?

The randomised controlled trial found complete wound closure in 55% of patients at 12 weeks, against 35% for standard care alone. Aroa Biosurgery says this gives Symphony the top level of clinical evidence in outpatient care.

Josua Ferreira
By Josua Ferreira
Partnership Director
Josua Ferreira holds a Bachelor of Commerce in Marketing and Advertising and brings a background in publication, business development, and ASX market storytelling. He has worked with listed companies across the resource sector and broader market, combining sharp commercial instincts with a genuine commitment to keeping investors informed.
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