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Montana 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 / $6,407.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $3,119.76 / $9,173.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.38 / $1,987.50 / $7,048.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.00 / $504.00 / $3,119.76