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Minnesota 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
$10,488.00 / $11,009.00 / $16,613.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.00 / $2,843.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,892.30 / $42,318.71 / $74,202.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,913.00 / $13,757.00 / $57,897.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,891.00 / $13,757.00 / $32,027.00