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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

Facilitymedian $66 · 10th–90th $26–$1910%5%10%10th90th$66Professionalmedian $27 · 10th–90th $20–$590%10%20%10th90th$27$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $63.10 / $194.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $58.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $74.13 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $37.15 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $36.31 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $26.92 / $28.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $26.92
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $25.12 / $26.92