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Utah rates for HCPCS 90474

Im Adm Intransl/Oral Ea Vaccine

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.00 / $15.92 / $39.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $4.57 / $4.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.42 / $9.05 / $16.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.46 / $12.99 / $15.40