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Montana rates for HCPCS 90473

Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $65.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $12.21 / $66.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.29 / $26.29 / $26.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.21 / $22.33 / $36.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.44 / $14.44 / $40.47