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Wisconsin rates for HCPCS 90660

Laiv3 Vaccine Live For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.71 / $44.57 / $59.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $29.71 / $75.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.96 / $63.88 / $66.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.71 / $26.71 / $36.24
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.54 / $47.54 / $62.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.33 / $70.14 / $100.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.44 / $32.11 / $36.79
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $28.87 / $29.71
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.42 / $59.42 / $59.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $28.87 / $29.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $30.53 / $59.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.87 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.16 / $28.87 / $29.71
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.42 / $59.42 / $59.42
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $48.06 / $97.90
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $29.33 / $29.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.57 / $41.71 / $41.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.44 / $28.75 / $43.89