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Idaho 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
$46,900.50 / $46,900.50 / $46,900.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,154.46 / $186,615.94 / $194,956.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,984.65 / $87,938.40 / $109,429.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,468.51 / $69,284.80 / $100,287.08