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Removal of a Seizure-Producing Area of Brain

Idaho 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 $5,495 · 10th–90th $2,042$6,4570%20%10th90th$5,495Professionalmedian $2,138 · 10th–90th $1,514$3,8020%20%10th90th$2,138$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
$4,466.84
Median
$5,495.41
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,041.74
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$6,025.60
Typical High
$7,413.10
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$3,090.30
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$2,951.21
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$2,570.40
Typical High
$4,466.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,884.03
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,388.44
Typical High
$3,548.13
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$3,548.13
United
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,187.76
Typical High
$3,548.13