go back

North Dakota rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $24.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.85 / $24.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.31 / $28.31 / $35.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $26.88 / $42.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $30.57 / $30.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $30.57 / $31.40