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Idaho rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $69.18 / $141.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $69.18 / $549.54