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Washington rates for HCPCS 61538

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

Facilitymedian $5,888 · 10th–90th $3,311–$18,6210%10%10th90th$5,888Professionalmedian $3,715 · 10th–90th $2,344–$7,2440%10%10th90th$3,715$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
$4,677.35 / $6,456.54 / $20,892.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,235.94 / $8,511.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,248.07 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $5,011.87 / $7,762.47
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $5,370.32 / $6,760.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,370.32 / $6,760.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $5,011.87 / $5,248.07
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,548.13 / $3,548.13 / $3,715.35
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,754.40 / $7,943.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $5,248.07 / $6,918.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$707.95 / $2,454.71 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $7,413.10
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,311.31 / $5,128.61