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Michigan rates for HCPCS 49501

Rpr 1st Ingun Hrna Age 6 Mo-5 Yrs Incarcerated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.40 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.67 / $696.14 / $830.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,650.39 / $3,918.61 / $5,252.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.53 / $920.77 / $1,477.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.63 / $749.29 / $1,454.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$626.46 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.36 / $685.04 / $996.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $515.99 / $775.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,500.00 / $7,780.00 / $8,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.79 / $791.21 / $1,018.02