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Idaho rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $35.57
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $26.35 / $35.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.92 / $41.45 / $58.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $33.35 / $38.90