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Iowa rates for HCPCS 61538

Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery

Facilitymedian $5,370 · 10th–90th $2,951–$7,9430%20%10th90th$5,370Professionalmedian $3,236 · 10th–90th $2,344–$7,2440%20%10th90th$3,236$10.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $5,370.32 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,090.30 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $5,754.40 / $7,079.46
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $4,365.16 / $10,232.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,623.41 / $7,413.10
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,128.61 / $18,620.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,888.44 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $7,079.46 / $8,317.64
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $5,128.61 / $6,606.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $5,248.07 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,981.07 / $7,762.47
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,248.07 / $5,248.07 / $6,165.95