go back

Missouri 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
$22.86 / $37.81 / $53.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $21.52 / $32.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.35 / $33.54 / $80.28
Anthem 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
$20.81 / $24.71 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $23.87 / $27.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $25.03 / $27.04