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Montana 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 / $28.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $34.58 / $41.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.51 / $34.58 / $41.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $22.93 / $33.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $27.34