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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
$407.38 / $407.38 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $144.54