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California rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.25 / $404.13 / $763.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.50 / $350.00 / $450.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.00 / $724.00 / $777.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $598.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.13 / $404.13 / $820.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51