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Michigan rates for HCPCS 90672

Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $24.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $26.88 / $44.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.73 / $53.56 / $101.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.28 / $24.50 / $24.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.16 / $27.44 / $27.44
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $27.79 / $40.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $27.79 / $42.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $31.95 / $31.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $31.40 / $34.36