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Removal of a Seizure-Producing Area of Brain

Iowa 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 $4,898 · 10th–90th $2,239$7,9430%10%20%10th90th$4,898Professionalmedian $2,042 · 10th–90th $1,413$4,5710%20%10th90th$2,042$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$2,238.72
Median
$5,370.32
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,905.46
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$4,466.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,754.23
Typical High
$7,244.36
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$3,715.35
Typical High
$7,244.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$3,162.28
Typical High
$13,803.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,715.35
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,466.84
Typical High
$5,128.61
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.96
Median
$3,235.94
Typical High
$4,168.69
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$5,248.07
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,454.71
Typical High
$4,786.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,801.89