go back

Nebraska 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
Facility
Modifier
Low / Median / High Price
$66.07 / $66.07 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $74.13 / $112.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $83.18 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $81.28 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $74.13 / $93.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $77.62 / $288.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $87.10
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $87.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $67.61 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $81.28 / $87.10