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New Hampshire 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 / $27.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $25.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $64.57 / $107.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $46.77 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $31.62