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Nebraska 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
$30.90 / $30.90 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $37.15 / $56.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $38.90 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $34.67 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $36.31 / $134.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $40.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $31.62 / $31.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.02 / $40.74