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Alaska rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $37.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.32 / $53.32 / $53.32
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $40.95 / $64.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.95 / $53.32 / $96.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $27.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $27.79 / $29.25