| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,949.84 | $1,995.26 | $7,762.47 | |
Providence
| Facility | $1,318.26 | $1,862.09 | $3,019.95 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |
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 | $1,995.26 | $7,762.47 | |
Providence
| Facility | $1,318.26 | $1,862.09 | $3,019.95 | |
United
| Facility | $3,090.30 | $5,128.61 | $19,498.45 |