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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

Facilitymedian $54 · 10th–90th $20–$830%10%20%10th90th$54Professionalmedian $22 · 10th–90th $20–$500%20%10th90th$22$5.0$20.0$100.0$500.0

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
$19.95 / $53.70 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.39 / $50.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $20.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $52.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $22.91 / $28.84
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $354.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $26.92
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $89.13 / $100.00