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Michigan rates for HCPCS 80202

Vancomycin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.22 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $12.02 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.08 / $9.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $15.14 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.23 / $10.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $15.85 / $19.50
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $16.22 / $64.57
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.22 / $27.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.72 / $16.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.76 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $10.96 / $11.75