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Virginia 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
$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