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Missouri rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $346.74 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $426.58 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $39.81 / $60.26