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New Hampshire rates for HCPCS 90476

Adenovirus vaccine, type 4, live, for oral use

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.88 / $0.88
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,920.00 / $4,735.00