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Michigan rates for HCPCS 86790

Antibody; virus, not elsewhere specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.24 / $16.55 / $80.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.08 / $11.51 / $23.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.94 / $8.94 / $8.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.52 / $14.57 / $25.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.57 / $9.66 / $13.04
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.52 / $13.52 / $34.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.36 / $8.36 / $12.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.90 / $14.87 / $18.59
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.63 / $17.16 / $73.44
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $15.41 / $22.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.59 / $10.66 / $14.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $10.55 / $14.23