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Indiana 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 / $404.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.50 / $350.00 / $471.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,498.80 / $121,498.80 / $157,498.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94,499.06 / $121,498.79 / $182,248.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $462.00