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Rhode Island 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
$186,536.00 / $186,536.00 / $186,536.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,636.01 / $144,213.65 / $146,707.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,306.00 / $10,063.00 / $76,069.38