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Catheter Placement Of A Shunt In The Heart

Maine rates for HCPCS 0613T

Implants a small shunt in the wall between the two upper chambers of the heart, delivered on a thin tube threaded along a vein so the chest is never opened. The controlled opening lets blood pass from the left upper chamber to the right, relieving the pressure that backs up into the lungs in heart failure and easing breathlessness. Pressures in both sides of the heart are measured during the procedure.

Rates data updated July 2026.

How much does Catheter Placement Of A Shunt In The Heart cost?

$1,413

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,413 for this service. Most negotiated rates run $1,175 to $1,738.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,413 · 10th to 90th $741 to $2,188
$1K$2Kprofessional $1,413

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$602.56
Median
$630.96
Typical High
$1,348.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$2,238.72
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$1,230.27
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,698.24
Typical High
$2,511.89

Where Maine sits

The same service costs 14.5 times more in California than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 30th of 51

$1,413

CA $11,749ND $813

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.