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Oklahoma rates for HCPCS 90672

Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $40.74
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $27.54 / $39.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.20 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $30.90 / $33.11