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Michigan rates for HCPCS 90691

Typhoid Vaccine Vi Capsular Polysaccharide Im

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.14 / $149.50 / $178.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.49 / $156.97 / $172.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.73 / $336.38 / $636.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.21 / $146.21 / $153.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.92 / $172.37 / $172.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.14 / $120.37 / $178.66
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.14 / $141.76 / $164.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.66 / $178.66 / $178.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $173.91 / $184.68