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Oklahoma 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
$1,392.00 / $4,680.00 / $9,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.00 / $5,946.00 / $7,792.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $1,900.00 / $5,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $20,999.78 / $36,311.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $19,870.00 / $32,316.00