CPT 90672
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Laiv4 vaccine intranasal
Low
$12
Average
$56
Median
$25
High
$763
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33 hospital rates
iThe hospitals that file a Premera rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 4 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 4 | $50 | $44 | $11 | 26% | — | $17 – $50 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $53 | $54 | $7 | 13% | — | $45 – $64 |
| 7 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · per diem · both | 1 | $763 | $763 | — | — | — | $763 – $763 |
| 8 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $53 | $54 | $7 | 13% | — | $45 – $64 |
| 9 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 11 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 12 | Mercy Medical Center - Dyersville Dyersville, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Mercy Medical Center - New Hampton New Hampton, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 14 | Mercy Medical Center - Newton Newton, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 16 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $53 | $54 | $7 | 13% | — | $45 – $64 |
| 17 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $54 | $52 | $4 | 7% | — | $45 – $54 |
| 18 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $53 | $54 | $7 | 13% | — | $45 – $64 |
| 19 | MultiCare Deaconess Hospital Spokane, WA fee schedule · outpatient | 4 | $37 | $39 | $4 | 10% | — | $37 – $45 |
| 20 | MultiCare Valley Hospital Spokane Valley, WA fee schedule · outpatient | 4 | $37 | $39 | $4 | 10% | — | $37 – $45 |
| 21 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $45 | $45 | — | — | — | $45 – $45 |
| 22 | PORTLAND ADVENTIST MEDICAL CENTER Portland, OR percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 23 | Public Hospital Dis No 1 Skagit dba Skagit Valley Hospital Vernon, WA fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 24 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $12 | $12 | $2 | 13% | — | $11 – $14 |
| 25 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $25 | — | — | — | $25 – $25 |
← Payers reporting CPT 90672 · Snapshot 20261113T090226Z-3ce6c0b8