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Wisconsin rates for HCPCS 47141

Donor Hepatectomy Living Donor Seg Ii Iii & Iv

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,475.79 / $8,352.96 / $14,886.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,803.14 / $4,475.79 / $12,069.08
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
$3,989.14 / $9,181.10 / $23,623.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,442.18 / $12,202.51 / $18,718.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,737.49 / $13,962.85 / $16,673.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,783.15 / $4,835.41 / $8,607.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,612.68 / $4,827.99 / $8,852.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,209.85 / $9,213.48 / $30,727.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.65 / $2,858.29 / $8,763.07
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,712.43 / $4,952.14 / $8,607.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,717.20 / $10,292.17 / $16,868.08
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,856.28 / $68,706.25 / $68,706.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,207.28 / $19,977.20 / $30,727.60
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,895.71 / $14,895.71 / $14,895.71
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,494.68 / $20,358.75 / $20,358.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,917.00 / $19,003.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,110.14 / $8,096.46 / $18,029.41