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Catheter Closure of Hole Between Upper Heart Chambers

Ohio 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 $7,244 · 10th–90th $1,738$19,9530%5%10%10th90th$7,244$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
$1,621.81
Median
$7,079.46
Typical High
$16,982.44
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$8,511.38
Typical High
$60,255.96
CareSource
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$20,892.96
Typical High
$23,988.33
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,620.87
Typical High
$24,547.09
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$22,387.21
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$15,135.61
Typical High
$36,307.81