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Alaska rates for HCPCS 90687

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $14.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.03 / $20.03 / $20.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $8.65 / $12.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.39 / $15.39 / $24.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.51 / $14.51 / $14.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.39 / $20.03 / $36.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.65 / $10.33 / $14.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.44 / $10.99