go back

Minnesota 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 / $9.34 / $20.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $23.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $10.44 / $21.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.71 / $33.92 / $41.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.76 / $12.81 / $13.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.00 / $30.96 / $38.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $10.65 / $14.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.44 / $15.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $11.48 / $13.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $11.48 / $13.86