go back

South Carolina 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
$7,799.00 / $13,624.00 / $21,886.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $20,243.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,875.57 / $44,656.88 / $75,679.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,379.00 / $16,706.00 / $27,498.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.00 / $31,007.00 / $77,327.00