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Nebraska 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
$5,463.36 / $10,719.00 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.00 / $1,556.10 / $12,765.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,731.81 / $33,844.37 / $65,465.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.00 / $34,233.37 / $45,814.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,221.00 / $14,989.00 / $44,635.00