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Maryland 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 / $29.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $24.86 / $24.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $46.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $31.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $27.79 / $27.79