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New Jersey 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 $10,965 · 10th–90th $4,571$23,4420%10%10th90th$10,965Professionalmedian $12,303 · 10th–90th $5,370$21,8780%10%20%10th90th$12,303$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $10,715.19 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $12,302.69 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,220.18 / $12,302.69
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $89,125.09 / $141,253.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $17,782.79 / $33,884.42