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Removal of a Seizure-Producing Area of Brain

New Jersey 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 $6,918 · 10th–90th $2,951$11,7490%10%20%10th90th$6,918Professionalmedian $1,738 · 10th–90th $1,445$5,2480%10%20%10th90th$1,738$100.0$500.0$2.0K$10.0K

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
$4,365.16
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,698.24
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,570.40
Typical High
$6,309.57
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,511.89
Typical High
$3,090.30
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,862.09
Typical High
$7,079.46
United
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$5,248.07
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$2,137.96
Typical High
$3,715.35