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North Dakota 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
$61.66 / $97.72 / $213.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $93.33 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $125.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $74.13 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $95.50 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $95.50 / $104.71