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Kentucky 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
$8.91 / $9.33 / $13.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.72 / $10.96 / $17.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $9.33
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.50 / $26.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $48.98 / $48.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.96 / $12.30