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Massachusetts 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
$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