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Oregon 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 $13,490 · 10th–90th $7,943–$107,1520%20%10th90th$13,490Professionalmedian $79 · 10th–90th $71–$790%50%10th$79$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $13,489.63
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $7,943.28 / $13,489.63
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $69,183.10 / $69,183.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659,586.91 / $1,659,586.91 / $1,659,586.91
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $87,096.36 / $117,489.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $72,443.60 / $117,489.76