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Montana 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 / $404.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $625.00 / $625.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $2,250,000.00