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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
$64.57 / $64.57 / $70.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00