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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
$24.86 / $29.25 / $49.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $35.00 / $49.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.74 / $31.46 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.89 / $31.14 / $31.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $28.31 / $35.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $27.79 / $109.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $30.57 / $33.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $33.59 / $38.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.25 / $34.18 / $68.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $30.57 / $32.79