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Wisconsin 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
$14,482.00 / $14,482.00 / $17,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,737.61 / $16,737.61 / $16,737.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,078.00 / $20,293.00 / $39,888.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $70.00 / $85.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,078.00 / $19,708.00 / $24,111.00