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Texas rates for HCPCS 61538

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

Facilitymedian $3,715 · 10th–90th $955–$10,9650%10%10th90th$3,715Professionalmedian $2,951 · 10th–90th $2,239–$4,6770%20%10th90th$2,951$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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,754.23 / $4,265.80
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,884.03 / $4,570.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,548.13 / $5,370.32
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $16,218.10
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,620.87 / $23,988.33 / $23,988.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,090.30 / $6,165.95
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,715.35 / $4,897.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $363.08
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $5,128.61 / $6,606.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,090.30 / $5,888.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,511.89 / $3,548.13 / $5,370.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,344.23 / $8,912.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,884.03 / $4,677.35
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $2,754.23 / $2,754.23