go back

South Dakota 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
$4,338.00 / $4,338.00 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.61 / $16,737.61 / $16,737.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,865.00 / $28,286.56 / $45,861.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,865.00 / $7,865.00 / $7,865.00