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New York rates for MS-DRG 456

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

Facilitymedian $208,930 · 10th–90th $81,283–$331,1310%10%10th90th$208,930$2.0K$10.0K$50.0K$200.0K

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
$67,608.30 / $173,780.08 / $331,131.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173,780.08 / $269,153.48 / $346,736.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141,253.75 / $234,422.88 / $301,995.17
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $208,929.61 / $524,807.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $173,780.08 / $288,403.15