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Pennsylvania rates for MS-DRG 456

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,624.71 / $138,038.43 / $204,173.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $173,780.08 / $234,422.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,095.73 / $125,892.54 / $177,827.94
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147,910.84 / $147,910.84 / $181,970.09
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,659.50 / $134,896.29 / $169,824.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $186,208.71 / $204,173.79
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,857.76 / $131,825.67 / $199,526.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,884.37 / $67,608.30 / $120,226.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $100,000.00 / $177,827.94