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North Carolina 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
$9.94 / $10.27 / $16.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $10.24 / $15.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.49 / $25.24 / $28.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $18.28
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 / $10.99
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.24 / $10.85 / $12.09
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $12.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.29 / $90.00 / $100.00