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New York rates for MS-DRG 426

Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody Fusion Device

Facilitymedian $234,423 · 10th–90th $93,325–$426,5800%10%10th90th$234,423$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$87,096.36 / $234,422.88 / $426,579.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194,984.46 / $301,995.17 / $398,107.17
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131,825.67 / $269,153.48 / $691,830.97
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $218,776.16 / $371,535.23