| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $1,621.81 | $4,897.79 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |
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 | $1,949.84 | $5,623.41 | $10,471.29 | |
Medica
| Facility | $54.95 | $1,621.81 | $4,897.79 | |
United
| Facility | $851.14 | $1,445.44 | $5,623.41 |