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Catheter Closure of Hole Between Upper Heart Chambers

Iowa 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 $6,761 · 10th–90th $1,259$26,3030%5%10%10th90th$6,761Professionalmedian $2,239 · 10th–90th $912$4,6770%20%10th90th$2,239$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$6,456.54
Typical High
$11,481.54
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,445.44
Typical High
$4,677.35
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$13,182.57
Typical High
$44,668.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,344.23
Typical High
$8,912.51
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$23,988.33
Typical High
$47,863.01