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Tennessee rates for HCPCS 90630

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

Insurance Carrier
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $23.44