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New Jersey 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
$24.86 / $24.86 / $24.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.17 / $28.44 / $31.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.33 / $26.33 / $32.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.08 / $37.08 / $37.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $31.75