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Maine rates for HCPCS 47142

Donor Hepatectomy Living Donor Seg V Vi Vii &Vi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,712.92 / $5,616.15 / $5,820.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,141.60 / $6,372.83 / $9,664.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $5,349.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,762.95 / $6,726.25 / $10,128.36
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,242.71 / $6,752.17 / $10,566.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,712.92 / $5,616.15 / $10,926.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,610.78 / $6,573.73 / $10,154.25