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Massachusetts 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
$2,663.12 / $3,363.00 / $7,276.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $7,425.00 / $47,964.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,000.00 / $9,788.00 / $12,860.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41,113.26 / $50,425.38 / $62,849.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $7,425.00 / $47,964.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,678.00 / $8,289.00 / $38,061.00