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Missouri 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
$2,507.00 / $7,110.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,507.00 / $5,389.00 / $10,593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,099.00 / $9,059.00 / $14,057.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $8,281.00 / $65,418.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,681.00 / $7,582.00 / $65,418.00