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Maine rates for MS-DRG 975

HIV w major related condition w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $25,703.96 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $19,952.62 / $38,904.51
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $19,952.62 / $19,952.62