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Removal of a Seizure-Producing Area of Brain

South Dakota 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 $1,995 · 10th–90th $1,514$4,3650%20%40%10th90th$1,995Professionalmedian $2,042 · 10th–90th $1,514$4,1690%10%20%10th90th$2,042$2.0K$5.0K$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
$1,513.56
Median
$1,513.56
Typical High
$4,365.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,659.59
Typical High
$2,041.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,466.84
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$2,570.40
Typical High
$4,265.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,754.23
Typical High
$13,803.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,548.13
Typical High
$3,715.35
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$3,311.31
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$3,090.30
Typical High
$4,265.80
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,801.89
Typical High
$3,981.07