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Repair Of A Skull Encephalocele

Vermont rates for HCPCS 62120

Surgery to correct an encephalocele, where brain tissue and its covering membrane bulge out through a gap in the skull present from birth. The contents are returned or trimmed, the membrane is sealed watertight, and the bony gap in the vault of the skull is rebuilt in the same operation.

Rates data updated July 2026.

How much does Repair Of A Skull Encephalocele cost?

$1,905

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,905 for this service. Most negotiated rates run $1,905 to $2,291.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,905 · 10th to 90th $1,905 to $3,467
$1K$2K$5Kprofessional $1,905

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$1,905.46
Typical High
$1,905.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$2,398.83
Typical High
$4,570.88
United
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$2,884.03
Typical High
$5,248.07

Where Vermont sits

The same service costs 4.8 times more in California than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 51st of 51

$1,905

CA $9,120VT $1,905

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.