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Michigan rates for HCPCS 90658

Iiv3 Vaccine Split Virus 0.5 Ml Dosage Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.07 / $22.07 / $22.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $22.07 / $40.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.23 / $44.80 / $84.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.51 / $18.51 / $19.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.57 / $21.82 / $21.82
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.28 / $22.07 / $23.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $22.07 / $29.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.79 / $32.79 / $33.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.72 / $23.66 / $24.38