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Catheter Closure of Hole Between Upper Heart Chambers

Kentucky 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 $4,898 · 10th–90th $1,175$41,6870%5%10%10th90th$4,898$1.0K$2.0K$5.0K$10.0K$20.0K$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
$1,174.90
Median
$4,897.79
Typical High
$18,620.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$11,748.98
Typical High
$52,480.75
CareSource
Setting
Facility
Modifier
Global
Typical Low
$851.14
Median
$1,202.26
Typical High
$1,445.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,548.82
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$16,982.44
Typical High
$34,673.69