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Texas 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
$1,068.00 / $4,499.00 / $17,181.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.61 / $16,737.61 / $16,737.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,314.00 / $11,662.00 / $20,280.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,737.61 / $16,737.61 / $17,909.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $12,245.00 / $25,655.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,152.00 / $12,393.00 / $29,939.00