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Wisconsin 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 / $19.50 / $19.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $28.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $19.50 / $22.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $44.67 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $27.54 / $53.70
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $21.88 / $39.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $21.88 / $39.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $33.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $32.36 / $53.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $21.38 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $29.51 / $36.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $37.15