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Louisiana rates for HCPCS 90672

Laiv4 Vaccine 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 / $27.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $27.79 / $41.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $27.79 / $28.35
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $29.25 / $33.35