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Pennsylvania rates for MS-DRG 969

HIV w extensive O.R. procedure w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,028.30 / $100,077.00 / $136,664.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $96,259.23 / $157,137.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,756.72 / $84,473.94 / $133,316.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,866.78 / $100,866.78 / $122,481.09
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,201.90 / $96,122.80 / $136,664.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,756.72 / $81,945.84 / $129,037.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $48,109.54 / $70,286.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,470.17 / $77,158.99 / $139,957.40