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Catheter Closure of Hole Between Upper Heart Chambers

Virginia 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 $7,079 · 10th–90th $1,230$26,9150%5%10th90th$7,079Professionalmedian $1,175 · 10th–90th $794$1,4790%10%20%10th90th$1,175$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$7,079.46
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$18,620.87
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$16,218.10
Typical High
$46,773.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$954.99
Typical High
$1,174.90
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,479.11
Typical High
$1,819.70
Medcost
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,412.54
Typical High
$1,949.84
Sentara
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,318.26
Typical High
$34,673.69
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$22,387.21
Typical High
$45,708.82