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Michigan rates for HCPCS 90296

Diphtheria Antitoxin Equine Any Route

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $58.00 / $537.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.19 / $341.19 / $341.19
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.25 / $618.25 / $618.25
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$618.25 / $618.25 / $741.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00