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Tennessee 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
$2,652.00 / $7,602.00 / $16,577.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,069.00 / $6,550.00 / $16,577.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,420.00 / $9,052.00 / $15,472.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,582.00 / $11,545.00 / $13,496.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,827.00 / $14,882.00 / $33,761.00