go back

Virginia 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 / $593.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.00 / $350.00 / $450.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.54 / $559.54 / $559.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.51 / $104.51 / $104.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.00 / $760.00 / $760.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$404.13 / $442.16 / $809.15