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Idaho rates for HCPCS 90687

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $10.27
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $9.90 / $13.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $15.48 / $22.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $12.53 / $12.53