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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
$1,380.38 / $3,981.07 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $6,309.57 / $8,317.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $5,011.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $26,915.35 / $57,543.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $26,302.68 / $47,863.01