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Michigan rates for HCPCS 86789

Antibody; West Nile virus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.66 / $13.67 / $23.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.10 / $13.07 / $13.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $9.99 / $9.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.30 / $16.27 / $28.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.34 / $10.79 / $14.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $16.52 / $20.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.66 / $13.67 / $25.12
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $17.26 / $20.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.71 / $11.91 / $16.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $11.33 / $11.94