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Indiana rates for HCPCS 47133

Donor hepatectomy (including cold preservation), from cadaver donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $2,332.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,600.00 / $11,226.46 / $15,429.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,213.00 / $3,780.00 / $5,216.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,911.64 / $4,911.64 / $6,366.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,911.64 / $5,893.97 / $7,367.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.00 / $761.00 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.00 / $2,545.91 / $7,656.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.00 / $5,076.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,179.39 / $4,179.39 / $4,179.39