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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

Facilitymedian $50 · 10th–90th $31–$1170%10%10th90th$50Professionalmedian $31 · 10th–90th $18–$580%50%10th90th$31$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $30.20 / $30.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $79.43 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $34.67
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $72.44 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $33.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $57.54 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $33.88 / $50.12
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41.69 / $50.12 / $66.07