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South Carolina rates for HCPCS C9758

Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation Of Interatrialshunt Or Placebo Control Including Right Heart Catheterization Trans-Esophageal Echocardiography(Tee)/Intracardiac Echocardiography (Ice) And Allimaging With Or Without Guidance (E.G. Ultrasoundfluoroscopy) Performed In An Approved Investigational Device Exemption (Ide) Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,799.00 / $13,624.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $20,243.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,875.57 / $28,418.31 / $48,160.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,379.00 / $16,706.00 / $27,498.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,758.89 / $21,758.89 / $21,758.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.00 / $26,459.00 / $63,302.00