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Michigan rates for HCPCS 90656

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $34.67 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.12 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $43.65 / $89.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.42 / $20.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $34.67 / $67.61
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $25.70 / $46.77
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.12 / $26.30