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Tennessee rates for HCPCS 90686

Iiv4 Vacc Presrv Free 0.5 Ml Dos For Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $38.79 / $86.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $32.94
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.04 / $90.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $22.35 / $26.37