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Michigan rates for HCPCS 90694

Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.22 / $66.31 / $128.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.43 / $69.22 / $90.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.48 / $148.58 / $281.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.58 / $67.98 / $67.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.20 / $71.68 / $91.50
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $71.68 / $86.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.96 / $88.96 / $88.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $87.42 / $95.64