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New York rates for MS-DRG 402

Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical

Facilitymedian $87,096 · 10th–90th $33,884$158,4890%10%10th90th$87,096$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$32,359.37 / $85,113.80 / $158,489.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $112,201.85 / $144,543.98
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $100,000.00 / $251,188.64
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $36,307.81 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $93,325.43 / $162,181.01