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Virginia 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
$4,771.00 / $9,338.00 / $18,862.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,226.00 / $6,827.70 / $10,820.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,900.00 / $13,875.00 / $15,752.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,122.00 / $8,122.00 / $10,523.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,929.00 / $20,487.00 / $34,600.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,929.00 / $20,487.00 / $34,600.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,644.00 / $54,429.00 / $115,563.00