go back

Michigan 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
$15.85 / $34.67 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.70 / $53.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $15.85 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $41.69 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $19.95 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $35.48 / $56.23
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $42.66
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $27.54