| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,513.56 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $1,288.25 | $1,737.80 | $3,019.95 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |
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 | $1,513.56 | $7,943.28 | $16,595.87 | |
Medcost
| Facility | $1,288.25 | $1,737.80 | $3,019.95 | |
United
| Facility | $2,454.71 | $6,760.83 | $9,120.11 |