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Wisconsin rates for MS-DRG 976

HIV with major related condition without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,574.80 / $13,574.80 / $16,088.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,929.69 / $17,783.18 / $26,602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,102.51 / $13,741.71 / $23,379.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,933.23 / $15,937.89 / $26,088.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.78 / $10,147.35 / $14,498.12
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,303.53 / $15,745.96 / $18,505.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,929.70 / $17,107.07 / $22,520.56