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Opening The Back Of The Skull To Free A Nerve

Maryland rates for HCPCS 61458

Removes a small area of bone at the back and base of the skull to reach the nerves that leave the brain stem, and frees them from whatever is pressing on them. It is used for problems such as severe facial pain or uncontrollable facial twitching caused by a blood vessel resting against a nerve.

Rates data updated July 2026.

How much rates vary

Facilitymedian $661 · 10th to 90th $661 to $661Professionalmedian $2,399 · 10th to 90th $2,138 to $3,631
$1K$2K$5Kfacility $661professional $2,399

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,398.83
Typical High
$3,630.78
United
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69