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Oklahoma 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
$32.53 / $49.58 / $79.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $21.60 / $25.00
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
$19.03 / $22.35 / $30.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $24.59 / $26.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.23 / $23.53 / $26.82