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Hawaii 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 / $448.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.38 / $1,003.75 / $1,127.17