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Minnesota rates for HCPCS 90476

Adenovirus Vaccine Type 4 Live Oral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.00 / $206.00 / $206.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.50 / $837.10 / $1,517.84