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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
$389.05 / $407.38 / $630.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $436.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $407.38 / $630.96