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Wisconsin rates for HCPCS 47140

Donor Hepatectomy Living Donor Seg Ii & Iii

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,747.27 / $6,999.07 / $14,482.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,185.25 / $3,747.27 / $10,091.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,169.00 / $7,344.00 / $10,382.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,347.14 / $7,686.71 / $19,770.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,750.78 / $10,225.96 / $16,494.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,659.32 / $12,290.65 / $13,966.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,163.98 / $4,039.81 / $7,197.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,047.85 / $4,255.89 / $7,700.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,649.37 / $7,840.55 / $25,728.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.10 / $2,373.98 / $7,320.32
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,110.70 / $4,117.10 / $7,197.40
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,463.80 / $8,620.54 / $14,129.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,531.46 / $57,531.46 / $57,531.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,288.13 / $25,728.72 / $25,728.72
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,466.25 / $12,466.25 / $12,466.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,307.39 / $17,053.33 / $17,053.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $6,032.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,606.11 / $6,645.18 / $15,074.59