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Massachusetts 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
$2,663.12 / $3,363.00 / $7,276.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,430.00 / $19,430.00 / $19,430.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.00 / $7,775.00 / $21,140.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $9,788.00 / $12,860.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28,001.12 / $34,501.37 / $42,950.00
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.00 / $7,775.00 / $21,140.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,594.00 / $7,775.00 / $16,522.00