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Hawaii rates for HCPCS 61619

Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,341.60 / $1,445.77 / $2,153.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.13 / $1,737.03 / $1,771.93
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,896.95 / $2,131.27 / $2,514.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,528.58 / $1,667.54 / $1,945.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,417.41 / $1,737.03 / $2,213.88
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,485.15 / $1,887.80