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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.00 / $1,615.00 / $10,924.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $1,245.00 / $1,615.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,191.00 / $13,191.00 / $16,023.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,810.00 / $42,428.00 / $93,042.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00