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Maryland 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
$21.38 / $58.88 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.39 / $53.70
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $34.67 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $23.44 / $25.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39