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Partial Removal Of One Side Of The Brain

Florida rates for HCPCS 61543

An operation that opens the skull and removes or disconnects part of one half of the brain. It is used for severe seizures that start in one hemisphere and have not responded to medication, with the goal of stopping the seizures from spreading. It is major neurosurgery performed under general anesthesia with a hospital stay and a long recovery.

Facilitymedian $6,457 · 10th–90th $1,445$22,9090%10%10th90th$6,457Professionalmedian $2,239 · 10th–90th $1,862$3,8900%20%40%10th90th$2,239$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
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$4,897.79
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$2,238.72
Typical High
$3,715.35
AvMed
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$6,309.57
Typical High
$12,302.69
AvMed
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$2,398.83
Typical High
$2,884.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$10,000.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,951.21
Typical High
$4,786.30
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$23,442.29
Typical High
$34,673.69
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,737.80
Typical High
$2,344.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$676.08
Median
$4,897.79
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,691.53
Typical High
$4,897.79
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$2,454.71