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California 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
$9.34 / $9.34 / $25.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $24.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.89 / $16.68 / $37.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $10.99 / $28.04
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $10.44 / $19.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.44 / $26.71
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $21.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $90.00 / $100.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $13.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.05 / $17.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $13.57 / $17.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $11.80 / $22.27