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New Jersey rates for HCPCS 90476

Adenovirus Vaccine Type 4 Live Oral

Insurance Carrier
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.20 / $78.20 / $91.08
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00