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Louisiana 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
$941.00 / $3,500.00 / $9,940.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,212.00 / $8,200.00 / $16,737.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,381.87 / $28,668.65 / $58,185.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,000.00 / $8,383.00 / $18,869.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,638.00 / $13,779.00 / $29,176.00