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Georgia 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
$57,129.00 / $76,172.00 / $147,742.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,198.00 / $81,015.25 / $131,907.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $87,021.71 / $149,479.29