| Q4289 | Revoshield + amniotic barrier, per square centimeter |
| Q4253 | Zenith amniotic membrane, per square centimeter |
| Q4229 | Cogenex amniotic membrane, per square centimeter |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter |
| Q4343 | Dermacyte ac matrix amniotic membrane allograft, per square centimeter |
| Q4198 | Genesis amniotic membrane, per square centimeter |
| Q4224 | Human health factor 10 amniotic patch (hhf10-p), per square centimeter |
| Q4315 | Regenelink amniotic membrane allograft, per square centimeter |
| V2790 | Amniotic membrane for surgical reconstruction, per procedure |
