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Minnesota rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $59.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $28.22 / $55.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $27.79 / $62.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.89 / $24.86 / $27.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.40 / $90.18 / $109.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.60 / $34.04 / $35.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.20 / $82.30 / $103.28
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $28.31 / $39.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $27.35 / $42.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $30.57 / $36.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.18 / $30.57 / $36.90