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Michigan rates for HCPCS 86652

Antibody Encephalitis Eastern Equine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.53 / $12.53 / $19.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $12.53 / $12.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.77 / $14.92 / $26.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $9.89 / $13.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $15.28 / $19.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.90 / $12.53 / $23.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $15.82 / $19.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.82 / $10.92 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.54 / $10.80 / $11.45