| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,380.38 | $1,862.09 | $8,317.64 | |
Providence
| Facility | $1,862.09 | $6,025.60 | $8,511.38 |
Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,715.35 | $12,022.64 | $16,595.87 | |
Moda Health
| Facility | $1,380.38 | $1,862.09 | $8,317.64 | |
Providence
| Facility | $1,862.09 | $6,025.60 | $8,511.38 |