Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and common bile duct for implantation; with trisegment split of whole liver graft into 2 partial liver grafts (ie, left lateral segment [segments II and III] and right trisegment [segments I and IV through VIII])
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,907.00 | $6,907.00 | $6,907.00 | |
Aetna
| Professional | $441.38 | $478.99 | $2,311.62 | |
Cigna
| Facility | $2,151.00 | $2,151.00 | $2,151.00 | |
Cigna
| Professional | $382.83 | $514.08 | $838.42 | |
United
| Facility | $324.00 | $960.00 | $960.00 | |
United
| Professional | $388.90 | $490.68 | $1,051.50 |