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Washington, DC rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $24.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $24.86 / $24.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $43.26 / $73.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.49 / $56.49 / $56.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.51 / $29.25 / $36.17