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Pennsylvania rates for MS-DRG 429

Combined Anterior And Posterior Cervical Spinal Fusion With Mcc

Facilitymedian $147,911 · 10th–90th $81,283–$218,7760%10%10th90th$147,911$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$83,176.38 / $147,910.84 / $218,776.16
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $165,958.69 / $223,872.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $134,896.29 / $190,546.07
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158,489.32 / $158,489.32 / $194,984.46
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $144,543.98 / $181,970.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169,824.37 / $169,824.37 / $229,086.77
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $141,253.75 / $208,929.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $117,489.76 / $208,929.61