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Iowa rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.25 / $29.25 / $87.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $29.25 / $70.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $28.41 / $35.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.85 / $19.29 / $62.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.35 / $32.28 / $48.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $31.40 / $40.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $34.18 / $38.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $34.18 / $68.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $31.40 / $32.79
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.50 / $24.50 / $24.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.50 / $24.50 / $24.50