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See a sample rate comparisonHCPCS V2790 Fee Schedule
HCPCS V2790 is classified under Vision Services, in the Vision Services subgroup.
Amniotic membrane for surgical reconstruction, per procedure
| Key Fact | Detail |
|---|---|
| Service Type | Vision Services Vision Services |
| Complexity Level | Moderate |
National average reimbursement for HCPCS V2790 by major payers:
$393.34
BCBS / Anthem
$149.64
UnitedHealthcare
$460.74
Aetna
$71.45
Cigna
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HCPCS V2790
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Payer Contract Negotiation
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See a sample payer proposalHCPCS V2790 vs. Other Vision Services Codes
The table lists codes related to V2790. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| V2788-HCPCS | Moderate | Presbyopia correcting function of intraocular lens |
| V2790-HCPCS | Moderate | Amniotic membrane for surgical reconstruction, per procedure |
| V2797-HCPCS | Low | Vision supply, accessory and/or service component of another HCPCS vision code |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS V2790. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the V2790 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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