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Montana rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $44.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $46,773.51 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $43.65 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $43.65
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $29.51 / $85.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $29.51 / $85.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $43.65 / $54.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $43.65 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $33.11