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Skull Decompression With Removal Of Brain Tissue

Virginia rates for HCPCS 61323

Removes a section of skull and takes out part of a lobe of the brain to bring down dangerously high pressure inside the head, opening or patching the brain's covering as needed. Taking away a portion of already damaged tissue gives the swollen brain room to expand and protects the rest from being crushed. Any blood clot lying inside the brain tissue is left in place and is not dealt with in this operation.

Facilitymedian $5,888 · 10th–90th $2,455$28,1840%5%10th90th$5,888Professionalmedian $2,951 · 10th–90th $2,138$5,4950%10%20%10th90th$2,951$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$5,011.87
Typical High
$30,199.52
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,908.68
Typical High
$30,199.52
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,570.40
Typical High
$6,918.31
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,715.35
Typical High
$5,495.41
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,162.28
Typical High
$4,677.35
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,905.46
Median
$3,090.30
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$3,311.31
Typical High
$6,309.57