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Arizona rates for HCPCS 90662

Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $169.82 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $181.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $85.11 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $257.04 / $371.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $186.21 / $457.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $97.72 / $141.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $102.33 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $102.33 / $102.33