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Michigan rates for HCPCS 90671

Pcv15 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $274.20 / $549.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $287.26 / $507.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.51 / $525.91 / $994.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.59 / $240.62 / $240.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.49 / $269.49 / $269.49
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.14 / $274.20 / $549.30
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.56 / $261.14 / $489.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.32 / $300.32 / $300.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.62 / $288.60 / $306.31