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North Carolina rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $27.35 / $44.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $26.88 / $43.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.35 / $68.17 / $76.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.73 / $25.73 / $26.88
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 / $29.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.88 / $28.49 / $32.18
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.60 / $24.60 / $24.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $43.07
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.75 / $90.00 / $100.00