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Nebraska 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
$5,463.36 / $10,719.00 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $1,556.10 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,731.81 / $33,844.37 / $65,465.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.00 / $21,785.10 / $40,166.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.00 / $14,143.00 / $40,166.00