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Catheter Closure of Hole Between Upper Heart Chambers

Michigan 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 $11,220 · 10th–90th $1,318$37,1540%10%10th90th$11,220$500.0$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
$1,318.26
Median
$11,220.18
Typical High
$37,153.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$1,318.26
Median
$6,918.31
Typical High
$33,113.11
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$13,182.57
Typical High
$47,863.01