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Washington 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
$24.55 / $52.48 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $33.88 / $54.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $7.08 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $33.88 / $33.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $66.07 / $100.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $36.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $51.29 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.90 / $32.36 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $36.31 / $40.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $44.67