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Montana rates for HCPCS 90687

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use

Facilitymedian $11 · 10th–90th $10–$320%20%40%10th90th$11Professionalmedian $9 · 10th–90th $9–$290%50%10th90th$9$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.22 / $19.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $16.22
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $32.36
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $32.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $16.22 / $19.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $16.22 / $85.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $11.75 / $12.59