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New Jersey rates for HCPCS 93581

Percutaneous transcatheter closure of a congenital ventricular septal defect with implant

Facilitymedian $10,965 · 10th–90th $4,571–$18,6210%10%20%10th90th$10,965Professionalmedian $1,380 · 10th–90th $1,202–$4,4670%20%10th90th$1,380$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $10,964.78 / $15,135.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,380.38 / $6,025.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $39,810.72 / $48,977.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,995.26 / $4,365.16
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $2,187.76
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $57,543.99 / $91,201.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,479.11 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $11,220.18 / $29,512.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,548.82 / $2,884.03