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Virginia rates for HCPCS 61343

Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation)

Facilitymedian $5,248 · 10th–90th $2,291–$25,7040%5%10%10th90th$5,248Professionalmedian $2,818 · 10th–90th $1,995–$5,1290%10%20%10th90th$2,818$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,801.89 / $9,549.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $22,908.68 / $30,199.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $6,456.54
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,818.38 / $3,630.78 / $5,128.61
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,951.21 / $4,466.84
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,754.23 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $3,311.31 / $6,309.57