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South Dakota rates for HCPCS 47141

Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,803.14 / $3,803.14 / $3,803.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,449.76 / $3,803.14 / $4,164.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,618.38 / $9,103.78 / $11,379.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,052.31 / $6,427.31 / $11,109.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,662.47 / $8,129.92 / $30,727.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,345.12 / $9,538.01 / $13,238.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,243.00 / $9,205.95 / $11,411.81
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,271.91 / $7,167.79 / $8,320.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,662.47 / $7,361.78 / $11,451.66
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,254.20 / $10,099.20 / $10,099.20