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Kansas 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
$3,630.78 / $8,511.38 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $9,549.93 / $10,964.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $10,000.00 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $18,620.87 / $30,199.52