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Arizona 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
$27.20 / $65.50 / $142.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $27.98 / $59.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.43 / $69.98 / $110.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.94 / $18.82 / $124.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $22.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $27.04 / $28.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $25.26 / $26.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $25.26 / $26.82