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Kentucky rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.12 / $404.12 / $404.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $404.13 / $444.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.50 / $350.00 / $350.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170,098.30 / $170,098.30 / $170,098.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125,998.74 / $134,998.65 / $170,098.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.31 / $284.31 / $284.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $45.00