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Minnesota rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $25.12 / $43.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $50.12 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $95.50 / $114.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.88 / $36.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $91.20 / $107.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $27.54 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $30.90 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $42.66