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Arkansas rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $48.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $27.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.15 / $30.15 / $30.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $30.15 / $30.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $29.18 / $31.40