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Kansas 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
$3,600.00 / $10,439.00 / $16,833.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,600.00 / $7,655.00 / $16,192.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,498.00 / $8,860.00 / $10,972.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,782.00 / $8,916.00 / $31,505.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,096.00 / $8,916.00 / $31,505.00