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Michigan rates for HCPCS 90677

Pcv20 Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.18 / $242.94 / $369.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.66 / $356.71 / $568.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.69 / $600.19 / $1,135.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.87 / $274.60 / $274.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.55 / $307.55 / $307.55
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.49 / $287.75 / $426.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.89 / $312.89 / $546.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.83 / $359.83 / $359.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.60 / $329.52 / $339.49