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Massachusetts 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
$24.86 / $24.86 / $30.33
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $50.15 / $90.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $34.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.39 / $37.32 / $79.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $29.25
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.62 / $27.79 / $57.71
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $35.75 / $90.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $41.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $38.90