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Michigan rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $404.13 / $589.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.13 / $404.13 / $439.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00