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New York rates for MS-DRG 459

Spinal fusion except cervical w MCC

Facilitymedian $95,499 · 10th–90th $34,674$125,8930%20%10th90th$95,499$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $117,489.76 / $125,892.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $69,183.10 / $123,026.88