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New York rates for MS-DRG 428

Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc

Facilitymedian $120,226 · 10th–90th $47,863$218,7760%10%10th90th$120,226$100.0$500.0$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
$44,668.36 / $117,489.76 / $218,776.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $154,881.66 / $204,173.79
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $138,038.43 / $346,736.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $112,201.85 / $190,546.07