go back

North Carolina rates for HCPCS 61543

Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy

Facilitymedian $3,311 · 10th–90th $2,042–$7,9430%10%10th90th$3,311Professionalmedian $2,630 · 10th–90th $2,042–$6,1660%10%20%10th90th$2,630$100.0$500.0$2.0K$10.0K

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
$2,089.30 / $3,311.31 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,398.83 / $6,165.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,365.16 / $5,754.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,162.28 / $5,495.41
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,818.38 / $4,365.16
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,344.23 / $5,888.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $3,890.45 / $7,079.46
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $2,691.53 / $4,786.30
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $13,182.57 / $13,182.57
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $19,498.45