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West Virginia 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
$1,325.09 / $1,325.09 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.11 / $1,325.09 / $1,611.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $1,729.80 / $1,884.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,675.25 / $1,675.25 / $1,675.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.76 / $1,635.76 / $1,635.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.49 / $2,094.05 / $8,330.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,153.64 / $1,665.26 / $2,448.44