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Nationwide rates for HCPCS 47145

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 lobe split of whole liver graft into 2 partial liver grafts (ie, left lobe [segments II, III, and IV] and right lobe [segments I and V through VIII])

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.50 / $4,050.00 / $8,072.00	Facility	$657.50	$4,050.00	$8,072.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.36 / $513.22 / $6,249.99	Professional	$447.36	$513.22	$6,249.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,708.05 / $6,744.50 / $11,253.00	Facility	$2,708.05	$6,744.50	$11,253.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.00 / $551.50 / $1,083.44	Professional	$466.00	$551.50	$1,083.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $589.00 / $1,000.00	Facility	$564.91	$589.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.28 / $718.04 / $1,245.81	Professional	$487.28	$718.04	$1,245.81
United Facility/Professional Facility Modifier Low / Median / High Price $718.00 / $2,575.00 / $7,326.50	Facility	$718.00	$2,575.00	$7,326.50
United Facility/Professional Professional Modifier Low / Median / High Price $423.45 / $609.71 / $1,032.48	Professional	$423.45	$609.71	$1,032.48

Nationwide rates for HCPCS 47145

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