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Michigan rates for HCPCS 90621

Menb-Fhbp Recombnt Lipoprotein Vacc 2/3 Dose Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $211.34 / $211.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $211.34 / $280.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.54 / $453.14 / $857.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.95 / $196.95 / $207.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.05 / $232.20 / $232.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $219.76 / $248.63
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.00 / $219.76 / $273.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.32 / $301.32 / $301.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.32 / $248.63 / $256.31