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Tennessee 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
$44,539.50 / $66,035.00 / $132,313.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,767.17 / $67,564.16 / $110,227.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,515.62 / $68,157.75 / $88,252.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.00 / $66,390.83 / $96,296.00