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Kentucky 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 / $24.86 / $24.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $31.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.31 / $29.49 / $49.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $25.01 / $25.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.52 / $48.77 / $75.04
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $37.52 / $51.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.88 / $27.44 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $32.79