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Montana 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
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $54.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $64,565.42 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $53.70 / $57.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $53.70
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $104.71
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $104.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $53.70 / $57.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $53.70 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $40.74