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Pennsylvania 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
$48,977.88 / $87,096.36 / $128,824.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $100,000.00 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $81,283.05 / $112,201.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93,325.43 / $93,325.43 / $114,815.36
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $87,096.36 / $109,647.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $85,113.80 / $147,910.84
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $81,283.05 / $125,892.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $64,565.42 / $112,201.85