| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,054.30 | $2,054.30 | $2,054.30 | |
Providence
| Facility | $1,017.29 | $2,214.55 | $2,378.19 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $2,054.30 | $2,054.30 | $2,054.30 | |
Providence
| Facility | $1,017.29 | $2,214.55 | $2,378.19 |