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Pennsylvania rates for MS-DRG 976

HIV w major related condition w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,517.87 / $14,758.20 / $20,153.70
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $16,595.09 / $24,512.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,900.43 / $13,838.39 / $20,306.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,874.69 / $14,874.69 / $18,062.12
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,140.55 / $14,758.20 / $20,153.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,433.73 / $12,204.50 / $20,306.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,049.10 / $11,146.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,783.22 / $11,566.00 / $18,979.27