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Illinois rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $25.12 / $30.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.70 / $48.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $14.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165,958.69 / $234,422.88 / $812,830.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $23.44 / $97.72
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.78 / $19.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $50.12 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.20 / $33.11