| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,207.08 | $1,207.08 | $1,400.00 | |
CareSource
| Facility | $1,377.88 | $1,584.70 | $1,726.56 | |
Cigna
| Facility | $1,469.42 | $1,469.42 | $1,469.42 |
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 | $1,207.08 | $1,207.08 | $1,400.00 | |
CareSource
| Facility | $1,377.88 | $1,584.70 | $1,726.56 | |
Cigna
| Facility | $1,469.42 | $1,469.42 | $1,469.42 |