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Right Heart Catheterization for a Heart Defect

Wisconsin rates for HCPCS 93593

A thin tube is threaded through a vein into the right side of the heart and the lung arteries in a person with a heart defect present from birth, to measure pressures and oxygen levels directly and to map how blood is traveling. Imaging is used to steer the catheter and pictures are recorded during the study. The findings guide decisions about surgery, medication or the timing of further treatment.

Facilitymedian $14,125 · 10th–90th $5,888$22,3870%10%10th90th$14,125Professionalmedian $363 · 10th–90th $182$6170%10%20%10th90th$363$50.0$200.0$1.0K$5.0K$20.0K

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
$363.08
Median
$363.08
Typical High
$17,782.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$204.17
Typical High
$363.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$14,125.38
Typical High
$22,908.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$512.86
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$7,762.47
Typical High
$14,454.40
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$501.19
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$12,302.69
Typical High
$19,952.62
Medica
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$371.54
Typical High
$1,096.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
Network Health
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$9,332.54
Typical High
$15,848.93
Quartz
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$436.52
Typical High
$616.60
Quartz
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,698.24
Quartz
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,174.90
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$13,182.57
Typical High
$20,417.38
United
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$371.54
Typical High
$851.14