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Missouri 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
$2,511.89 / $5,623.41 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $12,589.25 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,162.28 / $14,125.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $7,079.46 / $46,773.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,025.60 / $23,442.29