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Ohio rates for HCPCS V2790

Amniotic membrane for surgical reconstruction, per procedure

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.48 / $404.13 / $593.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.50 / $350.00 / $621.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,498.80 / $121,498.80 / $121,498.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00