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Wisconsin 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
$14,482.00 / $14,482.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.00 / $17,505.00 / $23,937.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,676.00 / $22,696.00 / $44,689.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,676.00 / $21,823.00 / $27,528.00