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Nebraska 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
$7,244.36 / $8,511.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,584.89 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $33,884.42 / $66,069.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $33,884.42 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $25,118.86 / $45,708.82