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Maryland 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 / $442.16
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.54 / $559.54 / $559.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $859.00 / $1,043.00