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California rates for HCPCS C9758

Blind procedure for NYHA Class III/IV heart failure; transcatheter implantation of interatrial shunt including right heart catheterization, transesophageal echocardiography (TEE)/intracardiac echocardiography (ICE), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (IDE) study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,950.00 / $11,255.00 / $23,282.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,494.00 / $16,737.61 / $16,737.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,863.00 / $14,851.00 / $32,649.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $317.00 / $330.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $21,084.22 / $41,420.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,319.00 / $13,678.00 / $22,827.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,873.00 / $14,189.00 / $22,827.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,918.00 / $23,865.00 / $54,637.00