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South Dakota rates for HCPCS 47142

Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $4,168.69 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,897.79 / $17,782.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,244.36 / $10,232.93 / $12,882.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $6,309.57 / $12,302.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $7,079.46 / $33,884.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $10,471.29 / $11,220.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $7,762.47 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $7,244.36 / $12,022.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,120.11 / $11,220.18 / $11,220.18