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Missouri rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.73 / $4.73 / $4.73