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Removal of a Seizure-Producing Area of Brain

Washington 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 $3,715 · 10th–90th $2,089$18,6210%10%10th90th$3,715Professionalmedian $2,291 · 10th–90th $1,445$4,4670%10%10th90th$2,291$50.0$200.0$1.0K$5.0K$20.0K

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
$3,090.30
Median
$4,168.69
Typical High
$20,892.96
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$2,041.74
Typical High
$4,570.88
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$4,265.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,090.30
Typical High
$4,897.79
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$3,311.31
Typical High
$4,168.69
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$3,388.44
Typical High
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,162.28
Typical High
$3,235.94
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,290.87
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,548.13
Typical High
$4,897.79
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$4,265.80
United
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,621.81
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,511.89
Typical High
$4,570.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,737.80
Median
$2,137.96
Typical High
$3,311.31