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Arizona rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $404.13 / $625.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.80 / $272.80 / $300.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.15 / $365.15 / $436.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.48 / $366.25 / $763.80