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Michigan rates for HCPCS 90625

Cholera vaccine, live, adult dosage, 1 dose schedule, for oral use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.33 / $297.33 / $297.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.50 / $297.33 / $297.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.68 / $637.13 / $1,205.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.93 / $276.93 / $291.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.50 / $326.48 / $326.48
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.33 / $308.99 / $349.80
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.55 / $308.99 / $370.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $437.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $349.80 / $360.30