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New York 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
$2,626.00 / $7,028.00 / $16,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,626.00 / $8,736.00 / $20,781.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $9,750.00 / $16,411.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,390.00 / $7,170.00 / $15,193.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,227.90 / $13,010.00 / $15,675.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $15,675.00 / $15,675.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,846.00 / $12,321.00 / $46,444.00