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Michigan 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
$1,856.07 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,264.08 / $1,856.07 / $1,927.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,782.70 / $7,917.46 / $10,785.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.20 / $1,203.72 / $3,312.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.61 / $1,819.60 / $2,835.45
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,597.38 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.38 / $1,645.99 / $2,662.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.32 / $1,071.55 / $1,726.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,906.00 / $4,645.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.09 / $1,820.04 / $2,567.48