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Catheter Closure of Hole Between Upper Heart Chambers

Missouri 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 $5,129 · 10th–90th $1,479$23,9880%10%10th90th$5,129$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
$1,659.59
Median
$5,495.41
Typical High
$23,988.33
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$1,479.11
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$25,703.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$3,630.78
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$3,981.07
Typical High
$23,442.29