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Texas 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 $5,888 · 10th–90th $1,738–$18,1970%5%10%10th90th$5,888Professionalmedian $4,074 · 10th–90th $1,096–$14,4540%10%20%10th90th$4,074$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $4,570.88 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,715.35 / $14,454.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $12,022.64 / $20,417.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $83,176.38
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $4,073.80 / $17,782.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $10,964.78 / $39,810.72
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $13,182.57 / $25,703.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $20,892.96 / $40,738.03