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Michigan rates for HCPCS 90667

Influenza virus vaccine (IIV), pandemic formulation, split virus, adjuvanted, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $330.00 / $330.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.00 / $319.00 / $319.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00