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Utah 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
$30.20 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $38.02 / $57.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $38.90 / $40.74