go back

Wisconsin 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
$1,258.93 / $2,818.38 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $2,818.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $27,542.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $2,630.27 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,168.69 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $5,370.32 / $6,165.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $6,918.31 / $13,489.63
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $3,388.44 / $4,265.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,951.21 / $7,943.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $2,454.71 / $16,218.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,905.46
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $3,801.89 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $19,498.45 / $19,498.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $6,606.93 / $16,218.10
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $4,786.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $7,943.28 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $6,165.95 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,290.87 / $6,025.60