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New Hampshire 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
$30.57 / $30.57 / $34.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.57 / $30.57 / $30.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.97 / $58.09 / $155.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.75 / $30.75 / $30.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.71 / $33.71 / $33.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.85 / $55.49 / $105.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.17 / $34.17 / $39.29
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.77 / $35.97 / $3,000.00