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Removal of a Seizure-Producing Area of Brain

Washington, DC rates for HCPCS 61534

Brain surgery in which a section of the skull is lifted so the surgeon can remove the specific area of brain tissue where seizures start. Only that focus is taken out, rather than a whole lobe, which preserves more of the surrounding brain. The section of skull is replaced at the end of the operation.

Facilitymedian $2,138 · 10th–90th $1,698$7,7620%20%10th90th$2,138Professionalmedian $1,862 · 10th–90th $1,660$4,5710%20%10th90th$1,862$1.0K$2.0K$5.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,137.96
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$4,570.88
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$1,862.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$4,365.16
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$3,467.37
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$1,318.26
Typical High
$16,218.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,344.23
Typical High
$4,570.88