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Georgia 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 $5,623 · 10th–90th $2,399–$12,0230%5%10%10th90th$5,623Professionalmedian $2,754 · 10th–90th $2,089–$4,8980%10%10th90th$2,754$200.0$500.0$1.0K$2.0K$5.0K$10.0K$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
$3,311.31 / $5,370.32 / $9,549.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,511.89 / $4,677.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $6,309.57 / $26,302.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,630.78 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $3,467.37 / $6,456.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $3,162.28 / $5,495.41
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,467.37 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,951.21 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $3,090.30 / $6,025.60