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Nebraska rates for HCPCS 90672

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $34.67 / $47.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $31.62 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $31.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $28.18 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $29.51 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $33.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $27.54 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $30.90 / $33.11