go back

Illinois rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.13 / $404.13 / $589.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.15 / $1,003.00 / $1,187.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,500.00 / $2,500.00