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Connecticut rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.76 / $17.10
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $90.00
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.52 / $100.00 / $103.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $8.50 / $8.50