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Pennsylvania 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 / $24.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.36 / $28.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.08 / $24.80 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.56 / $23.56 / $23.56
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $19.36 / $32.72
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.36 / $55.36
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $21.40
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.64 / $21.64 / $22.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $22.78 / $28.48