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Connecticut 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
$24.36 / $52.28 / $64.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.17 / $29.99 / $62.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $21.00 / $21.00
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $21.18 / $21.18
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $25.88 / $31.20
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.23 / $25.23 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.18 / $22.35 / $24.59