go back

North Carolina rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.73 / $2,017.40 / $2,017.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.12 / $404.13 / $444.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $1,550.00 / $1,550.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.13 / $404.13 / $484.96
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.27 / $829.27 / $829.27