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New York rates for HCPCS 90664

Influenza virus vaccine, live (LAIV), pandemic formulation, for intranasal use

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $31.05 / $62.79
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306,496.94 / $306,496.94 / $306,496.94
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.97 / $48.92 / $57.84
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $52.00 / $52.00