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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

Facilitymedian $32,359 · 10th–90th $4,467$87,0960%20%10th90th$32,359Professionalmedian $4,467 · 10th–90th $78$70,7950%20%40%10th90th$4,467$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

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