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Wisconsin rates for HCPCS 90686

Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Facilitymedian $63 · 10th–90th $16$1070%10%10th90th$63Professionalmedian $27 · 10th–90th $20$590%10%20%10th90th$27$20.0$50.0$100.0$200.0$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
$16.22 / $64.57 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.18 / $58.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $42.66 / $43.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $54.95 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.18 / $57.54
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $22.39 / $38.02
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $35.48
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.91 / $23.44 / $30.20
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $32.36 / $48.98
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $30.20 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $21.38 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $23.44 / $85.11