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South Carolina 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 / $448.97
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 / $537.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00