go back

Pennsylvania rates for MS-DRG 451

Single Level Spinal Fusion Except Cervical Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,131.70 / $52,813.80 / $76,967.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,459.92 / $8,639.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,678.06 / $47,351.20 / $68,096.83
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,230.53 / $53,230.53 / $64,637.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,286.26 / $52,916.09 / $77,059.13
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,080.10 / $51,686.40 / $75,481.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,319.97 / $43,675.01 / $67,350.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,024.59 / $40,396.15 / $73,859.87