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South Dakota 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 / $404.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.48 / $396.27 / $682.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.90 / $847.90 / $847.90