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Utah 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
$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