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Mississippi rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $27.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $27.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.01 / $19.01 / $19.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $32.03