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Washington 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 / $27.54 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $27.54 / $27.54
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $54.95 / $81.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $29.51 / $29.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $41.69 / $79.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $27.54 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $29.51 / $33.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $27.54 / $36.31