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West Virginia 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.76 / $464.76 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.52 / $481.97 / $2,311.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.87 / $510.87 / $623.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.26 / $554.26 / $554.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.70 / $547.70 / $547.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.89 / $613.11 / $1,133.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.10 / $529.66 / $780.62