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Michigan rates for HCPCS 90716

Varicella virus vaccine (VAR), live, for subcutaneous use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.37 / $175.55 / $195.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.06 / $200.00 / $317.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.10 / $419.92 / $794.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.51 / $182.51 / $192.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.91 / $215.17 / $215.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.37 / $203.65 / $230.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.06 / $200.00 / $296.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.16 / $289.78 / $289.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.12 / $230.39 / $237.52