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North Dakota rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.92 / $42.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $30.90