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Removal of a Seizure-Producing Area of Brain

Wisconsin 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 $14,791 · 10th–90th $4,571$26,3030%10%10th90th$14,791Professionalmedian $2,239 · 10th–90th $1,479$6,6070%10%10th90th$2,239$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
$1,412.54
Median
$3,162.28
Typical High
$14,454.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,412.54
Median
$1,659.59
Typical High
$4,073.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$16,218.10
Typical High
$27,542.29
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,479.11
Median
$2,951.21
Typical High
$7,943.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$4,677.35
Typical High
$7,413.10
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,041.74
Median
$5,495.41
Typical High
$6,918.31
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$7,244.36
Typical High
$13,489.63
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,801.89
Typical High
$4,786.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,388.44
Typical High
$9,549.93
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$2,754.23
Typical High
$11,481.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$2,089.30
Network Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$3,162.28
Network Health
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$3,890.45
Typical High
$6,760.83
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$4,073.80
Typical High
$6,918.31
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$22,387.21
Typical High
$22,387.21
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$7,413.10
Typical High
$13,803.84
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Security Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$8,912.51
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$7,079.46
Typical High
$19,498.45
United
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$2,630.27
Typical High
$6,760.83