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Wisconsin rates for HCPCS 47142

Donor Hepatectomy Living Donor Seg V Vi Vii &Vi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,918.10 / $9,187.99 / $16,375.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,184.13 / $4,918.10 / $16,375.00
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
$4,406.24 / $10,088.43 / $25,974.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.17 / $13,416.66 / $20,581.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,202.05 / $15,351.37 / $18,342.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,169.27 / $5,321.24 / $9,466.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,967.52 / $5,321.27 / $9,645.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,810.77 / $10,304.15 / $33,817.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.15 / $3,127.28 / $9,633.44
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,083.55 / $5,430.48 / $9,466.33
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,494.79 / $11,329.23 / $18,555.79
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,349.05 / $75,609.80 / $75,609.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,942.40 / $22,018.85 / $33,817.44
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,378.40 / $16,378.40 / $16,378.40
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,843.70 / $22,395.72 / $22,395.72
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
$4,624.12 / $8,759.98 / $19,872.00