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Brain Surgery To Remove A Seizure Focus

Maine rates for HCPCS 61536

An operation in which the skull is opened so the surgeon can remove the small area of brain tissue where a person's seizures start. It is offered to people whose epilepsy has not been controlled by medication, once testing has located the area responsible.

Facilitymedian $26,915 · 10th–90th $25,704$36,3080%20%40%10th90th$26,915Professionalmedian $3,311 · 10th–90th $2,570$5,4950%10%20%10th90th$3,311$2.0K$5.0K$10.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,090.30
Typical High
$5,011.87
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$26,915.35
Typical High
$36,307.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,981.07
Typical High
$5,888.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,818.38
Median
$3,311.31
Typical High
$5,623.41
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,715.35
Typical High
$5,011.87
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,951.21
Typical High
$3,630.78
United
Setting
Professional
Modifier
Global
Typical Low
$2,884.03
Median
$3,715.35
Typical High
$5,495.41