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Michigan rates for HCPCS 90664

Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $63.00 / $63.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $61.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00