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Iowa 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
$10.99 / $10.99 / $32.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $10.27 / $25.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $10.82 / $13.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.41 / $20.09 / $43.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.35 / $12.30 / $18.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.80 / $14.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $12.84 / $14.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $12.84 / $19.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.80 / $12.32
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.22 / $9.22 / $9.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $9.22 / $9.22