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West Virginia 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
$1,207.08 / $1,207.08 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.88 / $1,584.70 / $1,726.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,469.42 / $1,469.42 / $1,469.42