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Idaho 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
$4,000.00 / $16,737.59 / $16,737.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.59 / $16,737.59 / $16,737.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,376.30 / $47,496.36 / $58,364.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,606.00 / $11,004.00 / $13,715.00