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Illinois rates for HCPCS 90664

Laiv Vaccine Pandemic Formula For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.71 / $35.38 / $72.78
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $29.38 / $31.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00