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Maine rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.85 / $28.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.72 / $33.49 / $88.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $25.01 / $25.01
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $32.15 / $49.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.85 / $28.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $27.79 / $40.29