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Catheter Closure of Hole Between Upper Heart Chambers

Nebraska 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 $11,749 · 10th–90th $1,905$31,6230%10%10th90th$11,749Professionalmedian $2,042 · 10th–90th $1,698$2,3990%20%10th90th$2,042$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$11,748.98
Typical High
$29,512.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$33,884.42
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$37,153.52
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$2,089.30
Typical High
$26,915.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,041.74
Typical High
$2,398.83
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$23,442.29
Typical High
$30,902.95