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Michigan rates for HCPCS 90657

Iiv3 Vaccine Split Virus 0.25 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.23 / $44.80 / $84.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $9.25 / $9.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.02 / $10.91 / $10.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.03 / $11.03 / $11.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.03 / $13.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $11.62 / $12.19