go back

Michigan rates for HCPCS 90685

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $19.50 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $28.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $46.77 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $30.20 / $56.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.50 / $27.54
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $27.54 / $28.18