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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
$19.05 / $19.50 / $21.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $75,857.76 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $34.67 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $74.13
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $24.55 / $74.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $34.67 / $41.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $33.88 / $85.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $25.70 / $27.54