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Michigan rates for HCPCS 90632

Hepa Vaccine Adult Dose For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $70.78 / $73.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $73.79 / $138.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.59 / $183.01 / $346.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.54 / $79.54 / $83.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.58 / $93.78 / $93.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.78 / $73.79 / $110.69
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.98 / $73.79 / $128.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.98 / $83.58 / $84.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.94 / $98.84 / $105.01