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Nebraska 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 / $18.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $15.67 / $25.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.05 / $11.82 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.23 / $11.69 / $11.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.65 / $13.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.44 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.48 / $12.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.28 / $12.53 / $14.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.28 / $12.84 / $23.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.48 / $15.66