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Catheter Closure of Hole Between Upper Heart Chambers

Georgia rates for HCPCS 93580

Closes an opening in the wall between the two upper chambers of the heart without open-heart surgery. A catheter is threaded from a vein in the groin up to the heart and a small closure device is opened across the hole, where it stays permanently and tissue grows over it. Imaging from inside the heart or the esophagus guides the placement.

Facilitymedian $7,244 · 10th–90th $2,188$15,8490%10%10th90th$7,244Professionalmedian $1,148 · 10th–90th $1,000$2,6300%50%10th90th$1,148$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$7,244.36
Typical High
$15,135.61
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$7,413.10
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$10,471.29
Typical High
$34,673.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$9,332.54
Typical High
$21,877.62