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Arkansas rates for HCPCS 90686

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $49.12 / $69.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $41.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.24 / $24.24 / $24.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.19 / $24.24 / $24.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.38 / $22.10 / $22.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $23.47 / $25.26