go back

Missouri 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 / $448.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.50 / $350.00 / $439.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.87 / $104.51 / $104.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.13 / $424.34 / $905.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.27 / $829.27 / $829.27