| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,202.26 | $1,230.27 | $8,511.38 | |
Medica
| Facility | $1,230.27 | $1,819.70 | $3,715.35 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |
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 | $1,202.26 | $1,230.27 | $8,511.38 | |
Medica
| Facility | $1,230.27 | $1,819.70 | $3,715.35 | |
United
| Facility | $1,819.70 | $2,041.74 | $2,041.74 |