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New Jersey 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 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $27.54 / $32.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $11,481.54 / $25,118.86
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $37.15 / $53.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $29.51 / $33.11