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Louisiana rates for HCPCS 90686

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Facilitymedian $50 · 10th–90th $21–$930%10%10th90th$50Professionalmedian $21 · 10th–90th $20–$310%50%10th90th$21$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
$25.70 / $53.70 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $21.38 / $30.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.30 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $23.44 / $26.92