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Removal of a Seizure-Producing Area of Brain

Maine 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 $26,915 · 10th–90th $25,704$36,3080%20%40%10th90th$26,915Professionalmedian $2,042 · 10th–90th $1,660$3,6310%10%20%10th90th$2,042$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,995.26
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$26,915.35
Typical High
$36,307.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,570.40
Typical High
$3,801.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,089.30
Typical High
$3,630.78
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,398.83
Typical High
$3,311.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1,659.59
Median
$1,862.09
Typical High
$2,290.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,398.83
Typical High
$3,548.13