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Arkansas 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
$1,277.00 / $3,308.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.00 / $1,846.00 / $6,224.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,500.00 / $9,073.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $12,399.00 / $25,144.00