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North Dakota 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
$8.91 / $8.91 / $9.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $9.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $10.72 / $13.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $9.33 / $15.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.48 / $11.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $11.48 / $11.48