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Catheter Closure of Hole Between Upper Heart Chambers

Indiana 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 $27,542 · 10th–90th $1,175$77,6250%5%10th90th$27,542$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$1,122.02
Median
$8,912.51
Typical High
$34,673.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$47,863.01
Typical High
$97,723.72
CareSource
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$977.24
Typical High
$1,047.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,513.56
Typical High
$2,511.89
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$15,848.93
Typical High
$25,118.86