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Georgia 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
$4,592.00 / $6,726.00 / $12,941.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,631.00 / $16,737.61 / $16,737.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,226.13 / $6,105.48 / $13,137.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,068.00 / $11,970.00 / $18,035.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.00 / $12,757.00 / $38,174.00