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New Mexico 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 / $439.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $60.00 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.48 / $404.13 / $1,055.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $2,250,000.00