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North Dakota 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
$18.35 / $59.49 / $65.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $42.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.76 / $22.76 / $28.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $20.00 / $34.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.53 / $24.59 / $24.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $24.59 / $29.18