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Illinois rates for HCPCS C9760

Non-Randomized Non-Blinded Procedure For Nyha Class Ii Iii Iv Heart Failure; Transcatheter Implantation Of Interatrial Shunt Including Right And Left Heart Catheterization Transeptal Puncture Trans- Esophageal 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 (Desc Rvsd 1/1/21)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.00 / $5,549.00 / $9,691.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.00 / $6,116.00 / $10,073.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,540.47 / $41,250.75 / $50,740.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.00 / $6,773.00 / $8,602.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,570.00 / $16,498.00 / $44,061.00