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New York rates for MS-DRG 458

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

Facilitymedian $104,713 · 10th–90th $39,811–$162,1810%10%10th90th$104,713$2.0K$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
$33,113.11 / $87,096.36 / $162,181.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $131,825.67 / $169,824.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $117,489.76 / $151,356.12
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $102,329.30 / $257,039.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $38,904.51 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $95,499.26 / $169,824.37