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Illinois 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
$1,272.00 / $5,549.00 / $9,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,116.00 / $16,737.61 / $16,737.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,344.15 / $26,250.75 / $32,289.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.00 / $6,773.00 / $8,602.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,035.00 / $11,750.00 / $42,495.00