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Catheter Closure of Hole Between Upper Heart Chambers

Washington 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 $9,772 · 10th–90th $1,549$66,0690%5%10th90th$9,772$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
$9,772.37
Typical High
$64,565.42
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$46,773.51
Typical High
$95,499.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$19,498.45
Typical High
$37,153.52
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,479.11
Median
$2,187.76
Typical High
$79,432.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,819.70
Typical High
$1,949.84
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$1,288.25
Typical High
$1,318.26
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$48,977.88
Typical High
$95,499.26
United
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$64,565.42
Typical High
$109,647.82