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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

Facilitymedian $10,233 · 10th–90th $3,631$41,6870%20%10th90th$10,233Professionalmedian $10,000 · 10th–90th $3,236$34,6740%20%10th90th$10,000$0.0$0.5$10.0$200.0$5.0K$100.0K

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
$3,630.78 / $9,549.93 / $19,498.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $8,128.31 / $12,022.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $10,471.29
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $21,877.62 / $36,307.81
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10,000.00 / $21,877.62 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $54,954.09 / $102,329.30