Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional, including physiological and laboratory assessment (eg, pulmonary artery flow, pulmonary artery pressure, left atrial pressure, pulmonary vascular resistance, mean/peak and plateau airway pressure, dynamic compliance and perfusate gas analysis), including bronchoscopy and X ray when performed; each additional hour (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.78 | $4,933.00 | $4,933.00 | |
Aetna
| Professional | $157.12 | $248.78 | $248.78 | |
Health Alliance Plan
| Facility | $248.78 | $4,933.00 | $4,933.00 | |
Health Alliance Plan
| Professional | $248.78 | $266.20 | $343.65 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 | |
United
| Professional | $280.29 | $323.61 | $438.27 |