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Removal of a Seizure-Producing Area of Brain

Montana 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 $2,884 · 10th–90th $2,512$3,0900%50%10th90th$2,884Professionalmedian $2,344 · 10th–90th $1,622$4,6770%10%20%10th90th$2,344$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,137.96
Typical High
$5,495.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,630.27
Typical High
$2,818.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,884.03
Typical High
$3,235.94
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,884.03
Typical High
$3,235.94
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$2,398.83
Typical High
$3,019.95
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,737.80
Typical High
$3,715.35
United
Setting
Facility
Modifier
Global
Typical Low
$2,089.30
Median
$2,089.30
Typical High
$2,089.30
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,754.23
Typical High
$4,570.88