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Wisconsin rates for HCPCS 90630

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

Facilitymedian $44 · 10th–90th $23$850%10%20%10th90th$44Professionalmedian $22 · 10th–90th $18$490%20%10th90th$22$20.0$50.0$100.0$200.0

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $43.65 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $24.55 / $48.98
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $229.09 / $229.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38