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South Dakota 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
$74,939.50 / $74,939.50 / $74,939.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188,417.35 / $188,417.35 / $188,417.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,175.36 / $49,565.28 / $87,953.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,175.36 / $49,565.28 / $91,018.91