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Massachusetts rates for HCPCS 61538

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

Facilitymedian $3,388 · 10th–90th $2,692–$5,8880%10%20%10th90th$3,388Professionalmedian $3,090 · 10th–90th $2,512–$7,2440%20%10th90th$3,090$100.0$500.0$2.0K$10.0K$50.0K

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
$2,691.53 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,754.23 / $6,918.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,467.37 / $8,709.64
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,890.45 / $18,620.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $4,365.16 / $8,511.38
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,388.44 / $5,888.44
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $3,388.44 / $4,786.30
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $3,388.44 / $5,888.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,570.88 / $6,760.83
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,467.37 / $8,709.64
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $3,890.45 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $2,884.03 / $4,265.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,168.69 / $7,943.28