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Removal of a Seizure-Producing Area of Brain

Tennessee 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 $2,630 · 10th–90th $1,413$6,6070%10%10th90th$2,630Professionalmedian $1,862 · 10th–90th $1,479$4,0740%10%20%10th90th$1,862$100.0$200.0$500.0$1.0K$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
$2,398.83
Median
$2,691.53
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,819.70
Typical High
$2,951.21
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,344.23
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,344.23
Typical High
$3,630.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$1,995.26
Typical High
$3,235.94
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$10,000.00
Typical High
$10,000.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14,125.38
Median
$14,791.08
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$1,202.26
Median
$2,398.83
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$2,137.96
Typical High
$3,311.31