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Wisconsin 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165,737.00 / $165,737.00 / $196,431.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,864.89 / $242,466.40 / $309,618.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115,689.54 / $188,729.23 / $318,512.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.21 / $105,979.62 / $162,529.64
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138,006.47 / $192,244.78 / $225,935.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115,689.54 / $203,539.52 / $258,491.22