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Removal of a Seizure-Producing Area of Brain

New Hampshire 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 $10,000 · 10th–90th $2,399$33,1130%10%10th90th$10,000Professionalmedian $2,570 · 10th–90th $1,660$4,5710%10%10th90th$2,570$100.0$500.0$2.0K$10.0K$50.0K

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
$2,398.83
Median
$5,495.41
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$1,862.09
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$21,877.62
Typical High
$34,673.69
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$3,162.28
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$2,630.27
Typical High
$4,365.16
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,413.10
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$2,951.21
Typical High
$4,897.79