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Virginia rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.86 / $24.86 / $60.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $24.86 / $48.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $58.64 / $94.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.01 / $25.01 / $25.01
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $43.26 / $65.29
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.79 / $29.25 / $48.30
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.26 / $27.79 / $36.07
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.26 / $27.79 / $36.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.48 / $115.48 / $115.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.79 / $29.25 / $33.35