| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,454.71 | $4,897.79 | $10,471.29 | |
Anthem BCBS
| Facility | $8,912.51 | $21,877.62 | $26,915.35 | |
United
| Facility | $3,311.31 | $6,165.95 | $15,135.61 |
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 | $2,454.71 | $4,897.79 | $10,471.29 | |
Anthem BCBS
| Facility | $8,912.51 | $21,877.62 | $26,915.35 | |
United
| Facility | $3,311.31 | $6,165.95 | $15,135.61 |