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Oklahoma 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
$1,392.00 / $4,680.00 / $9,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,683.00 / $5,946.00 / $7,792.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,900.00 / $1,900.00 / $5,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,288.00 / $26,989.00 / $48,372.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,288.00 / $25,500.00 / $43,850.00