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Nationwide rates for HCPCS C9760

Nonrandomized, nonblinded procedure for NYHA Class II, III, IV heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, 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
$2,570.40 / $7,413.10 / $17,378.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $8,317.64 / $16,595.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $15,848.93 / $31,622.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $295.12 / $331.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $11,220.18 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $22,908.68 / $61,659.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17,782.79 / $52,480.75 / $77,624.71