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Georgia 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 / $10.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $13.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.75 / $38.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $9.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $9.61 / $18.85
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
$9.34 / $25.00 / $56.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $14.47