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Missouri rates for HCPCS 47133

Donor hepatectomy (including cold preservation), from cadaver donor

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $4,261.00 / $12,154.00
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
$2,234.00 / $4,319.00 / $10,043.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.80 / $1,433.15 / $3,780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $584.22 / $3,544.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.38 / $2,214.00 / $5,326.50
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
$1,189.00 / $3,300.00 / $11,186.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,235.00 / $12,235.00 / $12,235.00