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Spinal Fluid Leak Repair With Bone Removal

California rates for HCPCS 63709

Repairs a tear in the tough membrane around the spinal cord, or a pocket of spinal fluid that has collected outside it, after removing a section of bone from the back of the spine to reach the problem. Sealing the leak stops fluid escaping and relieves the headaches and swelling it causes. A patch of tissue or a sealant may be used to reinforce the repair.

Rates data updated July 2026.

How much does Spinal Fluid Leak Repair With Bone Removal cost?

$9,550

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $9,550 for this service. Most negotiated rates run $6,457 to $13,804.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10,233 · 10th to 90th $3,020 to $17,783Professionalmedian $1,318 · 10th to 90th $1,000 to $2,512
$100$500$2K$10Kfacility $10,233professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$10,000.00
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$10,715.19
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$3,311.31
Typical High
$6,606.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$2,691.53
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,202.26
Typical High
$1,621.81
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$2,754.23
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$6,918.31
Lucent Health
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,412.54
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$1,995.26
Median
$6,165.95
Typical High
$17,378.01

Where California sits

The same service costs 11.7 times more in Maine than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 3rd of 50

$9,550

ME $12,303WV $1,047

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.