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Utah 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
$74,774.30 / $96,402.80 / $109,896.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,764.08 / $112,004.37 / $146,664.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $50,993.61