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Maine rates for HCPCS 47133

Donor Hepatectomy Cadaver Donor

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $1,987.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,224.20 / $16,010.56 / $18,053.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,810.80 / $2,887.56 / $3,780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $713.16 / $7,656.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $1,987.50