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Indiana 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
$1,386.00 / $4,846.00 / $7,954.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.00 / $4,988.00 / $25,130.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,575.00 / $24,214.00 / $47,628.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,100.00 / $16,100.00 / $16,100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,619.00 / $16,546.00 / $34,320.00