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Virginia 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
$53,627.00 / $92,335.30 / $104,492.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,642.42 / $81,004.59 / $123,577.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,783.00 / $101,262.40 / $119,719.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $93,460.00 / $142,028.51