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Arizona rates for HCPCS 90687

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

Facilitymedian $18 · 10th–90th $9–$540%20%10th90th$18Professionalmedian $9 · 10th–90th $9–$160%50%10th90th$9$10.0$20.0$50.0$100.0

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 / $16.22 / $17.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.33 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $34.67 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $17.38 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.98 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $13.18 / $13.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $11.75 / $12.59