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Connecticut 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
$4,458.68 / $8,031.00 / $14,886.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,098.00 / $12,905.00 / $17,206.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,680.12 / $14,359.00 / $25,774.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,610.00 / $12,864.00 / $20,069.00