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Utah 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
$3,038.00 / $5,743.00 / $16,450.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,843.00 / $4,387.00 / $12,567.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,834.02 / $12,032.05 / $20,146.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,545.31 / $55,551.01 / $79,751.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,425.00 / $21,844.00 / $43,473.00