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Indiana rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $25.48 / $58.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $35.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $49.00 / $64.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.50 / $26.88 / $38.15
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.67 / $37.04 / $25,109.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.67 / $33.67 / $38.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.54 / $27.44 / $75.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $33.35