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Idaho 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
$35.48 / $56.23 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $51.29 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $54.95
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $43.65 / $109.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $54.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $51.29 / $72.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $40.74 / $40.74