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New York 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)

Facilitymedian $6,457 · 10th–90th $1,950–$15,1360%10%10th90th$6,457Professionalmedian $1,738 · 10th–90th $1,259–$5,0120%20%10th90th$1,738$50.0$200.0$1.0K$5.0K$20.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $3,981.07 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,737.80 / $5,754.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $11,220.18 / $18,620.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,513.56 / $4,168.69
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $37,153.52
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $5,754.40 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $2,754.23 / $7,943.28
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,884.03 / $6,165.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,398.83 / $3,311.31
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,819.70 / $3,548.13
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $1,862.09 / $3,019.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,479.11 / $4,073.80 / $9,120.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,238.72 / $6,606.93
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,659.59 / $6,456.54
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,819.70 / $4,466.84