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Louisiana 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 / $8.91 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $14.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $10.23 / $10.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $10.96 / $12.59