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Wisconsin rates for HCPCS 90672

Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use

Facilitymedian $28 · 10th–90th $24$680%20%40%10th90th$28Professionalmedian $25 · 10th–90th $24$590%20%40%10th90th$25$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $25.12 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.99 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $52.48 / $54.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $67.61 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $35.48 / $70.79
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $27.54 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $27.54 / $48.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $43.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $29.51 / $41.69
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $37.15 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $30.20 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $29.51 / $45.71