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South Dakota 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
$4,338.00 / $4,338.00 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,651.00 / $8,651.00 / $8,651.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,651.00 / $8,651.00 / $8,651.00