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Arizona 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
$1,965.00 / $5,013.00 / $9,901.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.00 / $4,474.00 / $9,683.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.19 / $1,446.21 / $2,365.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,384.00 / $6,810.00 / $11,892.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,786.00 / $26,227.00 / $55,051.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,442.00 / $16,316.00 / $58,382.00