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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
$407.38 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $407.38 / $630.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $100.00