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Missouri 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
$50,118.72 / $61,659.50 / $93,325.43
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $56,234.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $61,659.50 / $95,499.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $64,565.42 / $95,499.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $66,069.34 / $95,499.26