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Montana rates for HCPCS 90682

Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.67 / $65.67 / $90.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.20 / $116.20 / $116.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $72.25 / $116.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.20 / $116.20 / $116.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $77.41 / $129.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.94 / $82.94 / $88.08