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Utah 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 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $27.54 / $38.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $66.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.70 / $27.54