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Michigan rates for HCPCS 90687

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $9.33 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $11.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $19.50 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.12 / $9.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.13 / $29.51
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $10.23 / $14.45
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $12.59 / $12.88