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Extensive Infant Skull Surgery, Several Fused Joints

Maine rates for HCPCS 61559

When several of the fibrous joints between an infant's skull bones have fused too early, the skull cannot grow with the brain and the head becomes badly misshapen. In this extensive operation the surgeon takes off and reshapes large sections of the skull, making multiple cuts in the bone to recontour it, and uses pieces of the child's own bone as grafts to fill and support the rebuilt shape. It is carried out by a specialized surgical team, typically within the first year of life.

Facilitymedian $26,915 · 10th–90th $25,704$36,3080%20%40%10th90th$26,915Professionalmedian $2,884 · 10th–90th $2,399$5,2480%10%20%10th90th$2,884$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$2,691.53
Typical High
$5,248.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$26,915.35
Typical High
$36,307.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$3,715.35
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$5,248.07
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,467.37
Typical High
$4,786.30
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,388.44
Typical High
$5,128.61