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New Jersey 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
$4,294.00 / $9,784.00 / $20,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.61 / $16,737.61 / $16,737.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,958.15 / $10,591.00 / $12,253.70
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,977.87 / $42,547.22 / $81,141.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,963.00 / $15,079.00 / $36,366.00