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Wisconsin rates for HCPCS 61304

Craniectomy or craniotomy, exploratory; supratentorial

Facilitymedian $14,791 · 10th–90th $4,467–$26,3030%10%10th90th$14,791Professionalmedian $4,074 · 10th–90th $2,089–$6,9180%10%20%10th90th$4,074$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,162.28 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,570.88 / $7,413.10
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,548.82 / $7,244.36 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,388.44 / $9,549.93
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $4,073.80 / $6,918.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $22,387.21 / $22,387.21
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $7,079.46 / $19,498.45