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Removal of a Seizure-Producing Area of Brain

Indiana 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 $26,303 · 10th–90th $4,898$38,9050%10%20%10th90th$26,303Professionalmedian $1,698 · 10th–90th $1,413$3,0900%20%10th90th$1,698$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
$1,479.11
Median
$3,467.37
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$3,090.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$29,512.09
Typical High
$41,686.94
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,380.38
Median
$1,621.81
Typical High
$2,511.89
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$2,089.30
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$6,760.83
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$3,090.30