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Idaho rates for HCPCS 90476

Adenovirus Vaccine Type 4 Live Oral

Insurance Carrier
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.60 / $88.00 / $554.87