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Catheter Closure of Hole Between Upper Heart Chambers

Massachusetts 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 $5,623 · 10th–90th $2,089$34,6740%5%10%10th90th$5,623$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
$2,691.53
Median
$5,370.32
Typical High
$23,442.29
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$7,413.10
Typical High
$38,018.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$27,542.29
Typical High
$36,307.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$11,220.18
Typical High
$21,877.62
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$1,071.52
Typical High
$3,311.31
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$7,762.47
Typical High
$17,782.79
Health New England
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$3,801.89
Typical High
$3,981.07
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$7,413.10
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$7,762.47
Typical High
$35,481.34