go back

Kansas 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
$24.00 / $44.83 / $104.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $24.00 / $26.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.80 / $26.95 / $28.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $23.53 / $23.53
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 / $23.53 / $27.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $23.87 / $26.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $23.87 / $26.82