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Michigan rates for HCPCS 90688

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.38 / $18.68 / $77.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $28.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.37 / $40.32 / $76.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.52 / $17.52 / $18.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $20.65 / $20.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.85 / $20.48 / $26.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $20.48 / $27.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.32 / $31.32 / $31.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $23.59 / $25.89