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Virginia 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 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $50.12 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $41.69
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $29.51 / $47.86
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $27.54 / $41.69
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $27.54 / $41.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $30.20 / $50.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $29.51 / $35.48