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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
$234.42 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $104.71 / $104.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $407.38 / $1,047.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14