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Wisconsin 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
$80,146.50 / $80,146.50 / $94,989.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,602.61 / $117,251.20 / $149,724.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,646.44 / $94,738.97 / $154,025.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$825.56 / $52,103.56 / $74,443.46
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,736.77 / $92,965.17 / $109,257.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,229.92 / $99,525.00 / $125,000.44