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North Carolina 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 $10,000 · 10th–90th $5,248–$56,2340%10%20%10th90th$10,000Professionalmedian $1,660 · 10th–90th $1,288–$5,2480%50%10th90th$1,660$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $8,709.64 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,659.59 / $5,248.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $44,668.36 / $77,624.71
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38