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Exploratory Skull Opening, Upper Brain

Montana rates for HCPCS 61250

Drills one or more small round openings through the skull over the upper part of the brain so the surgeon can look at, sample, or drain what lies beneath. It is used on its own as an exploratory or diagnostic step, not as the doorway to a larger operation. It is performed under anesthesia in an operating room.

Facilitymedian $1,514 · 10th–90th $1,318$1,6220%50%10th90th$1,514Professionalmedian $1,230 · 10th–90th $851$2,2910%10%20%10th90th$1,230$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,122.02
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$870.96
Median
$1,412.54
Typical High
$1,513.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,698.24
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,548.82
Typical High
$1,698.24
Providence
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$1,288.25
Typical High
$1,548.82
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$912.01
Typical High
$1,949.84
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
United
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,445.44
Typical High
$2,454.71