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Catheter Closure of Hole Between Upper Heart Chambers

Wisconsin 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 $17,783 · 10th–90th $8,318$30,9030%10%10th90th$17,783Professionalmedian $2,188 · 10th–90th $1,349$3,5480%10%20%10th90th$2,188$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
$1,995.26
Median
$17,782.79
Typical High
$37,153.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$18,620.87
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,090.30
Typical High
$4,570.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$912.01
Median
$1,096.48
Typical High
$1,819.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$14,125.38
Typical High
$26,302.68
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$14,454.40
Typical High
$40,738.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$1,348.96
Median
$2,187.76
Typical High
$3,548.13
Quartz
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$14,454.40
Typical High
$14,454.40
Security Health
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30
United
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$20,892.96
Typical High
$33,884.42