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Ohio 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
$5,442.00 / $9,516.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,502.00 / $9,504.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $8,010.00 / $36,529.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,624.34 / $65,624.34 / $65,624.34
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104,998.95 / $104,998.95 / $104,998.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,541.00 / $24,620.00 / $46,132.00