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Washington rates for MS-DRG 977

Hiv With Or Without Other Related Condition

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,153.30 / $32,144.00 / $56,605.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,317.42 / $29,706.95 / $43,185.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,634.97 / $24,993.70 / $41,870.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,890.86 / $21,850.95 / $27,109.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $26,734.55 / $40,415.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,421.58 / $28,803.31 / $39,121.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,133.82 / $52,449.14