go back

Oklahoma rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.85 / $26.85 / $26.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.85 / $26.85 / $27.34
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 / $27.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.83 / $27.79 / $39.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $30.39 / $33.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $30.57 / $33.35