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Michigan rates for HCPCS 90393

Vaccinia Immune Globulin Human Im

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.00 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.00 / $51.00 / $51.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $39.02 / $56.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00