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Montana 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
Professional
Modifier
Low / Median / High Price
$1,422.15 / $7,239.33 / $7,239.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,278.82 / $2,278.82 / $2,278.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.66 / $2,278.82 / $2,452.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.84 / $2,549.30 / $2,733.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.91 / $2,044.57 / $2,949.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.23 / $2,437.80 / $3,978.42