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Pennsylvania rates for MS-DRG 402

Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,799.60 / $65,731.20 / $100,102.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,459.92 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,958.47 / $58,819.92 / $84,752.14
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,249.80 / $66,249.80 / $80,446.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,932.95 / $63,369.82 / $91,739.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,256.90 / $64,328.00 / $93,943.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,757.39 / $54,276.75 / $83,823.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,699.34 / $50,276.35 / $91,924.71