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Michigan rates for HCPCS 61558

Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts

Facilitymedian $4,898 · 10th–90th $2,455–$5,3700%50%10th90th$4,898Professionalmedian $2,089 · 10th–90th $1,622–$3,1620%10%20%10th90th$2,089$500.0$1.0K$2.0K$5.0K$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
$2,454.71 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,949.84 / $3,235.94
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $2,884.03 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,137.96 / $6,918.31
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,897.79 / $6,025.60
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,290.87 / $3,548.13
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,137.96 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,290.87 / $3,090.30