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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

Facilitymedian $5,623 · 10th–90th $2,818–$8,5110%20%10th90th$5,623Professionalmedian $52,481 · 10th–90th $40,738–$66,0690%20%40%10th90th$52,481$100.0$500.0$2.0K$10.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,677.35 / $7,762.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,709.64 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $10,000.00 / $13,489.63
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $5,888.44 / $9,772.37
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $9,332.54 / $47,863.01
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40,738.03 / $52,480.75 / $66,069.34
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $8,709.64 / $47,863.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $9,332.54 / $70,794.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39,810.72 / $52,480.75 / $57,543.99