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Arizona rates for HCPCS 90672

Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.72 / $49.72 / $49.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $28.22 / $59.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $86.99 / $137.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.09 / $23.40 / $155.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $35.54 / $35.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $31.40 / $33.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $31.40 / $33.35