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Vermont rates for HCPCS 47144

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	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $2,754.23	Professional	$426.58	$588.84	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $912.01 / $2,454.71	Professional	$380.19	$912.01	$2,454.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional	$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,288.25	Professional	$501.19	$660.69	$1,288.25