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Colorado rates for HCPCS 61559

Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg, barrel-stave procedure) (includes obtaining grafts)

Facilitymedian $15,488 · 10th–90th $3,236–$36,3080%5%10%10th90th$15,488Professionalmedian $2,692 · 10th–90th $2,089–$5,8880%20%10th90th$2,692$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$3,090.30 / $5,370.32 / $10,715.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,454.71 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $20,417.38 / $38,904.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,235.94 / $4,677.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,467.37 / $4,786.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $16,595.87
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,290.87 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $6,760.83 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,630.78 / $5,623.41