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West Virginia 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 / $22.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.36 / $22.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.21 / $44,999.55 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,999.64 / $35,999.64 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $21.40 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $21.40 / $28.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.78 / $22.78 / $22.78