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Vermont rates for HCPCS 90672

Laiv4 Vaccine For Intranasal Use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.86 / $24.86 / $27.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.52 / $62.52 / $62.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.52 / $62.52 / $62.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.44 / $27.44 / $27.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.40 / $29.25 / $32.79