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Catheter Replacement Of The Tricuspid Valve

New Jersey rates for HCPCS 0646T

Replaces the tricuspid valve, which sits between the right upper and lower chambers of the heart, with an artificial valve delivered on a thin tube threaded along a vein rather than by open-heart surgery. The new valve is set inside the failing one and takes over the job of stopping blood washing backwards.

Rates data updated July 2026.

How much does Catheter Replacement Of The Tricuspid Valve cost?

$2,818

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $2,818 for this service. The price depends on where it is billed: about $1,820 from a physician practice, and about $10,233 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,820$1,585 to $2,692
FacilityA hospital or hospital-owned outpatient department$10,233$6,457 to $17,783

How much rates vary

Facilitymedian $10,233 · 10th to 90th $4,365 to $21,878Professionalmedian $1,820 · 10th to 90th $1,380 to $12,303
$1K$2K$5K$10K$20Kfacility $10,233professional $1,820

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$10,715.19
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,819.70
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,220.18
Typical High
$12,302.69
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$4,897.79
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$2,137.96
Typical High
$5,495.41

Where New Jersey sits

The same service costs 15.8 times more in Indiana than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Jersey· 10th of 51

$2,818

IN $12,882KY $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.