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Arizona rates for HCPCS C9758

Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation Of Interatrialshunt Or Placebo Control Including Right Heart Catheterization Trans-Esophageal Echocardiography(Tee)/Intracardiac Echocardiography (Ice) And Allimaging With Or Without Guidance (E.G. Ultrasoundfluoroscopy) Performed In An Approved Investigational Device Exemption (Ide) Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $5,013.00 / $9,901.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.61 / $16,737.61 / $16,737.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.19 / $1,446.21 / $2,365.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,384.00 / $6,810.00 / $11,892.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,598.00 / $18,411.37 / $35,416.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,541.00 / $16,316.00 / $34,918.00