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Pennsylvania rates for HCPCS 90660

Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $29.71 / $76.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $32.68 / $56.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.59 / $31.28 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.71 / $29.71 / $29.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $29.71 / $76.22
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $32.50 / $56.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.73 / $27.22 / $58.00
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $18.73 / $58.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $31.27 / $41.55