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Utah rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $31.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $27.79 / $40.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.74 / $39.51 / $48.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $31.40 / $33.35