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Wisconsin 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
$50.12 / $104.71 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $97.72 / $177.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $208.93 / $218.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $120.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $204.17 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $173.78 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $125.89 / $257.04
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $97.72 / $213.80
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $83.18 / $102.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $102.33 / $154.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $85.11 / $97.72
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $151.36 / $316.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $95.50 / $263.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $97.72 / $147.91