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New Mexico 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
$2,095.00 / $7,838.38 / $14,860.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25,308.00 / $25,308.00 / $25,308.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,706.00 / $34,586.00 / $34,586.00