While pet insurance (if available) may or may not cover a variable proportion of the cost, the surgery is expensive at roughly 3-4 times the cost of TEER of the mitral valve with V-Clamp. The costs are associated with the large team of specialists involved in the surgery and cardiopulmonary bypass who travel from Japan to perform the surgery and in the pre- and post-operative period while a patient is in intensive care (VCA cardiologists, PICU critical care team). Given the variability between patients, accurate pricing is provided on a case-by-case basis following consultation with your VCA cardiologist.