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Ohio 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 / $31.54 / $65.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $27.34 / $61.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $48.54 / $74.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $26.66 / $47.93
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.52 / $37.52 / $29,293.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $27.79 / $37.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $43.17
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $43.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.56 / $34.73 / $40.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $29.25 / $36.40