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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
$404.13 / $404.13 / $404.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.51 / $404.13 / $404.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,549.39 / $3,549.39 / $3,549.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $439.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.13 / $404.13 / $808.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.27 / $829.27 / $829.27