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Arizona rates for HCPCS 90685

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $53.70 / $77.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $36.31 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $27.54 / $28.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $27.54