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New Hampshire rates for MS-DRG 450

Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody Fusion Device

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,216.92 / $97,985.00 / $115,862.00
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,741.91 / $77,050.03 / $113,195.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,750.71 / $89,500.82 / $109,203.50