go back

Montana rates for HCPCS 47142

Donor Hepatectomy Living Donor Seg V Vi Vii &Vi

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,919.00 / $4,594.17 / $24,206.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,398.53 / $7,398.53 / $7,398.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,343.38 / $7,398.53 / $13,439.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.22 / $6,219.19 / $8,485.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,642.39 / $7,522.38 / $12,534.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,458.72 / $7,896.31 / $11,818.12