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Catheter Closure of Hole Between Upper Heart Chambers

Utah 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 $9,333 · 10th–90th $3,162$40,7380%10%10th90th$9,333Professionalmedian $1,549 · 10th–90th $741$4,5710%20%40%10th90th$1,549$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
$3,162.28
Median
$8,912.51
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$18,197.01
Typical High
$30,199.52
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$35,481.34
Typical High
$53,703.18
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,548.82
Typical High
$4,570.88
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,128.61
Typical High
$39,810.72