go back

Michigan 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
$4,797.00 / $4,797.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,194.56 / $42,321.44 / $97,522.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,797.00 / $4,797.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,797.00 / $4,797.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,555.00 / $18,687.00 / $25,752.00