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Missouri 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 / $10.99 / $13.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $11.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $15.67 / $37.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $10.99 / $10.99
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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.72 / $11.54 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.15 / $12.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $12.53