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Pennsylvania 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 $181,970 · 10th–90th $100,000–$257,0400%10%10th90th$181,970$2.0K$10.0K$50.0K$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
$100,000.00 / $181,970.09 / $257,039.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $208,929.61 / $281,838.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $165,958.69 / $234,422.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194,984.46 / $194,984.46 / $234,422.88
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $177,827.94 / $218,776.16
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $141,253.75 / $229,086.77
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $173,780.08 / $251,188.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $144,543.98 / $257,039.58