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Virginia 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 / $39.81 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $61.66 / $104.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $40.74 / $40.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $36.31 / $50.12
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.88 / $51.29
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $51.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $43.65