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Montana rates for HCPCS 90672

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

Facilitymedian $37 · 10th–90th $28–$64,5650%20%40%10th90th$37Professionalmedian $28 · 10th–90th $24–$450%20%40%10th90th$28$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $27.54 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $46,773.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $43.65 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $43.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $85.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $85.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $43.65 / $54.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $43.65 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $25.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $31.62 / $33.11