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Alaska rates for MS-DRG 450

Single Level 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
$73,331.00 / $140,291.00 / $285,034.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214,441.79 / $214,441.79 / $227,840.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $82,875.28 / $126,332.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $80,077.84 / $227,840.40