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Utah 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
$3,038.00 / $5,743.00 / $16,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.00 / $4,387.00 / $12,567.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,834.02 / $12,032.05 / $20,146.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,347.31 / $35,351.01 / $50,751.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,252.00 / $9,159.00 / $19,667.00