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Wisconsin rates for HCPCS 90682

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

Facilitymedian $69 · 10th–90th $65–$1780%50%10th90th$69Professionalmedian $72 · 10th–90th $65–$1580%20%40%10th90th$72$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $66.07 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $74.13 / $165.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $138.04 / $144.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $177.83 / $263.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $93.33 / $186.21
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $74.13 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $74.13 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $77.62 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74.13 / $77.62 / $93.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $32.36 / $147.91
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $234.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $123.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $77.62 / $114.82