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Oregon 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 / $26.92 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $35.48 / $53.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $27.54 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $35.48 / $72.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $60.26 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.65 / $70.79 / $109.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $31.62 / $33.11