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Nebraska rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $630.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $436.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $741.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76