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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.80 / $1,846.23 / $3,377.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.85 / $2,333.02 / $2,604.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.21 / $2,501.41 / $3,579.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,310.46 / $2,450.48 / $2,800.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,939.79 / $2,440.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,888.61 / $2,888.61 / $3,277.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.42 / $2,020.78 / $3,206.89