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Indiana 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
$27.54 / $32.36 / $79.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $24.55 / $28.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $44.67 / $66.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $58.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $45.71 / $83.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $50.12
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 / $93.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $40.74