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Spinal Fluid Leak Repair With Bone Removal

North Carolina 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?

$1,660

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $1,660 for this service. Most negotiated rates run $1,259 to $3,890.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,660 · 10th to 90th $1,096 to $6,918Professionalmedian $1,778 · 10th to 90th $1,778 to $2,570
$1K$2K$5Kfacility $1,660professional $1,778

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$3,548.13
Typical High
$8,709.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$602.56
Median
$602.56
Typical High
$1,905.46
Cigna
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,778.28
Median
$1,778.28
Typical High
$2,570.40
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,096.48
Median
$1,445.44
Typical High
$2,344.23
United
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$3,890.45
Typical High
$7,079.46
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$6,918.31
Typical High
$6,918.31
Wellcare
Setting
Facility
Modifier
AS · PA/NP assist
Typical Low
$691.83
Median
$691.83
Typical High
$691.83

Where North Carolina 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.

North Carolina· 43rd of 50

$1,660

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.