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Michigan rates for HCPCS 47133

Donor Hepatectomy Cadaver Donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.50 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $2,252.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.31 / $203.16 / $275.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.50 / $7,244.58 / $9,173.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,987.50 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,987.50 / $1,987.50 / $2,660.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.00 / $4,645.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,115.28 / $5,115.28 / $5,115.28