| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $116.00 | $119.00 | |
Aetna
| Professional | $106.00 | $118.00 | $123.00 | |
Anthem BCBS
| Professional | $0.07 | $1.00 | $19.00 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 |
Adenovirus vaccine, type 4, live, for oral use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $116.00 | $119.00 | |
Aetna
| Professional | $106.00 | $118.00 | $123.00 | |
Anthem BCBS
| Professional | $0.07 | $1.00 | $19.00 | |
Molina
| Professional | $40.00 | $50.00 | $50.00 |