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California rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.10 / $252.10 / $252.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.88 / $17.10 / $19.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $146.00 / $393.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.28 / $123.28 / $123.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.03 / $27.03 / $27.03