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New Hampshire 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
$19.36 / $19.36 / $21.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.36 / $19.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
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
$22.70 / $35.14 / $66.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $22.78 / $26.20
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $26.64 / $3,000.00