go back

Pennsylvania rates for MS-DRG 458

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,628.50 / $68,217.80 / $103,889.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $89,178.05 / $131,252.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,871.32 / $57,581.88 / $91,023.44
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,756.10 / $68,756.10 / $83,489.55
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,083.55 / $89,679.51 / $142,783.66
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,597.90 / $68,217.80 / $103,889.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,871.32 / $55,770.97 / $87,958.41
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $32,997.54 / $47,988.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,406.75 / $57,452.53 / $97,684.74