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Michigan rates for HCPCS 90732

Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.46 / $141.04 / $221.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.46 / $133.47 / $212.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.44 / $255.90 / $484.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.23 / $111.23 / $117.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.11 / $131.13 / $131.13
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $141.04 / $221.56
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.66 / $133.47 / $197.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.49 / $153.49 / $153.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.08 / $140.50 / $144.75