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New York rates for MS-DRG 457

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

Facilitymedian $147,911 · 10th–90th $57,544–$234,4230%10%10th90th$147,911$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
$48,977.88 / $128,824.96 / $234,422.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123,026.88 / $190,546.07 / $245,470.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $165,958.69 / $213,796.21
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $147,910.84 / $371,535.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $131,825.67 / $223,872.11