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Nebraska rates for HCPCS 90630

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

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.00 / $18.00 / $22.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.70 / $228.70 / $228.70
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $24.95 / $25.43
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.41 / $25.39 / $42.72