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West Virginia 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
$23.53 / $49.74 / $65.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $21.44 / $45.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.17 / $30.17 / $59,999.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35,999.64 / $35,999.64 / $41,999.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.10 / $22.10 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $22.10 / $29.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.35 / $23.53 / $34.08