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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
$2,892.50 / $6,806.00 / $13,046.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,189.00 / $6,116.00 / $11,627.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,209.50 / $12,905.00 / $19,050.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.01 / $158.51 / $165.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,283.00 / $10,319.50 / $13,776.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.00 / $18,245.00 / $44,195.00