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Arizona rates for HCPCS 47133

Donor Hepatectomy Cadaver Donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $6,407.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,660.00 / $6,198.03 / $10,860.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,634.54 / $4,153.76 / $4,828.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.00 / $588.00 / $5,819.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.50 / $6,407.46 / $9,547.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,755.51 / $7,755.51 / $7,755.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.00 / $2,572.00 / $14,572.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,395.93 / $1,395.93 / $1,395.93