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Nebraska 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
$18.62 / $56.23 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $30.90 / $43.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $15.85 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $25.12 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $24.55 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $22.91 / $28.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $23.44 / $89.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $24.55 / $26.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.42 / $20.89 / $20.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $24.55 / $26.30