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Maine 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 / $23.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.28 / $12.58 / $33.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $9.40
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $12.08 / $18.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $23.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.44 / $15.66