go back

Wisconsin rates for HCPCS 61618

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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $2,511.89 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,715.35 / $5,888.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $6,918.31 / $13,489.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $2,818.38 / $7,943.28
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $3,090.30 / $5,248.07
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $17,378.01 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45