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Pennsylvania rates for MS-DRG 977

Hiv With Or Without Other Related Condition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,877.80 / $21,216.10 / $28,972.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,849.00 / $20,946.00 / $31,584.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,912.00 / $19,645.88 / $29,191.76
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,383.50 / $21,383.50 / $25,965.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,769.49 / $24,769.49 / $24,769.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,702.70 / $20,429.00 / $28,671.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,594.00 / $17,544.90 / $29,191.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $11,405.58 / $16,024.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,035.60 / $16,357.51 / $29,670.61