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South Dakota rates for HCPCS 47142

Donor Hepatectomy Living Donor Seg V Vi Vii &Vi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,176.95 / $4,176.95 / $4,176.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,794.06 / $4,176.95 / $27,713.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,276.54 / $10,009.10 / $12,511.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,461.87 / $7,059.05 / $12,249.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,176.57 / $8,938.79 / $33,817.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,981.28 / $10,505.41 / $14,548.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,824.64 / $10,304.15 / $12,526.34
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,804.68 / $7,902.90 / $9,158.81
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
$5,176.57 / $8,112.44 / $12,619.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,085.90 / $11,116.90 / $11,116.90