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Maine rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.51 / $404.13 / $625.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $350.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.51 / $404.13 / $625.00