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North Carolina 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
$18.87 / $53.44 / $77.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $23.47 / $44.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.29 / $52.08 / $60.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $19.77 / $20.72
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 / $23.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.52 / $22.81 / $25.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $19.41 / $19.41
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.08 / $235.08 / $355.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $23.53 / $29.50
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.04 / $90.00 / $100.00