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Maine rates for HCPCS 90672

Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $26.92 / $44.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $28.18 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $32.36 / $36.31
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $27.54 / $43.65