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Washington 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $10,232.93 / $28,183.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $537.03 / $6,309.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $707.95 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $891.25 / $1,513.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $954.99 / $1,258.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $870.96 / $1,202.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $44.67 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,202.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,258.93 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $1,230.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54