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Idaho 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
$15.14 / $23.44 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $24.55 / $40.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.12 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.39 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $23.99 / $83.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $39.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $33.11 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $26.92 / $31.62