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Indiana 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 / $9.57 / $22.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $9.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $18.44 / $25.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $13.00 / $17.94
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.54 / $12.54 / $17.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $12.54 / $15.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.33 / $28.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $12.53