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Missouri rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $29.25 / $36.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $40.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $41.65 / $99.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $29.25 / $29.25
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.86 / $30.71 / $109.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.68 / $33.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $33.35