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Montana rates for HCPCS 90630

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal use

Insurance Carrier
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $25.12