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Iowa rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $29.51 / $43.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $35.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $19.95 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $29.51 / $58.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $31.62 / $42.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $31.62 / $33.11
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $24.55