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Arizona rates for HCPCS 90674

Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $53.70 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $54.95
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $24.55 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $83.18 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $57.54 / $138.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $39.81 / $43.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $40.74