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New Jersey rates for MS-DRG 456

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Mcc

Facilitymedian $199,526 · 10th–90th $112,202–$269,1530%10%20%10th90th$199,526$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117,489.76 / $199,526.23 / $269,153.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $204,173.79 / $269,153.48
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $100,000.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120,226.44 / $190,546.07 / $269,153.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $234,422.88