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Massachusetts 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

Facilitymedian $5,129 · 10th–90th $2,818–$8,5110%10%10th90th$5,129Professionalmedian $34,674 · 10th–90th $16,596–$44,6680%10%10th90th$34,674$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,677.35 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $16,595.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,317.64 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $10,000.00 / $13,489.63
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $3,311.31 / $8,511.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $8,709.64 / $30,199.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,840.32 / $36,307.81 / $46,773.51
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,317.64 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $9,332.54 / $36,307.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28,183.83 / $36,307.81 / $40,738.03