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Indiana rates for HCPCS 90474

Im Adm Intransl/Oral Ea Vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $3.00 / $41.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $20.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.51 / $12.51 / $24.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $12.51 / $16.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.97 / $10.97 / $14.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $10.97 / $15.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $10.16 / $17.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.03 / $12.13 / $17.48