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Arizona rates for HCPCS 90687

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $18.68 / $18.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $25.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.60 / $32.68 / $51.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.04 / $8.78 / $58.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $13.29 / $13.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $11.80 / $12.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $11.80 / $12.53