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Catheter Closure of Hole Between Upper Heart Chambers

Illinois 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 $6,918 · 10th–90th $1,288$40,7380%5%10th90th$6,918Professionalmedian $1,514 · 10th–90th $955$6,1660%10%10th90th$1,514$100.0$500.0$2.0K$10.0K$50.0K

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
$1,288.25
Median
$6,760.83
Typical High
$44,668.36
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$15,135.61
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$14,125.38
Typical High
$19,054.61
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$6,165.95
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,220.18
Typical High
$43,651.58