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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
$407.38 / $407.38 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $407.38 / $467.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $407.38 / $758.58