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Tennessee 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 $9,333 · 10th–90th $2,455–$24,5470%5%10%10th90th$9,333Professionalmedian $6,607 · 10th–90th $2,692–$9,3330%10%20%10th90th$6,607$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$2,398.83 / $4,073.80 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $6,606.93 / $9,332.54
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $12,302.69 / $19,498.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $11,481.54 / $13,182.57
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $19,054.61 / $43,651.58