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Pennsylvania rates for MS-DRG 402

Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical

Facilitymedian $66,069 · 10th–90th $37,154–$97,7240%10%10th90th$66,069$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$37,153.52 / $66,069.34 / $97,723.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $77,624.71 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $60,255.96 / $85,113.80
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $85,113.80
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $66,069.34 / $79,432.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $63,095.73 / $91,201.08
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $63,095.73 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $52,480.75 / $93,325.43