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Maine 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
$19.35 / $19.35 / $21.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.48 / $19.48 / $19.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.64 / $25.04 / $38.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $23.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $22.78 / $34.17