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Idaho 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
$3,981.07 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $58,884.37 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $44,668.36 / $44,668.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $4,466.84 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $3,981.07 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $64,565.42 / $95,499.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44,668.36 / $69,183.10 / $72,443.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $51,286.14 / $51,286.14