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Catheter Closure of Hole Between Upper Heart Chambers

Maryland 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 $3,311 · 10th–90th $891$7,9430%10%20%10th90th$3,311Professionalmedian $1,000 · 10th–90th $891$1,8200%20%10th90th$1,000$1.0K$2.0K$5.0K$10.0K$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
$891.25
Median
$2,884.03
Typical High
$7,943.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,000.00
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$37,153.52