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New Jersey rates for MS-DRG 458

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/Mcc

Facilitymedian $100,000 · 10th–90th $58,884–$134,8960%10%20%10th90th$100,000$5.0K$10.0K$20.0K$50.0K$100.0K$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
$58,884.37 / $100,000.00 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $100,000.00 / $131,825.67
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $87,096.36 / $87,096.36
Horizon BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $104,712.85 / $158,489.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $21,379.62 / $114,815.36