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Removal of a Seizure-Producing Area of Brain

Illinois 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 $3,236 · 10th–90th $1,148$9,7720%10%10th90th$3,236Professionalmedian $1,862 · 10th–90th $1,413$4,0740%20%10th90th$1,862$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
$1,148.15
Median
$3,235.94
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,819.70
Typical High
$3,801.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$22,908.68
Typical High
$44,668.36
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,570.40
Median
$2,951.21
Typical High
$4,897.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$2,398.83
Typical High
$3,630.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,818.38
Typical High
$9,772.37
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,238.72
Typical High
$2,570.40
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$2,951.21
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,290.87
Typical High
$3,801.89