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New Hampshire rates for HCPCS 90687

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

Facilitymedian $16 · 10th–90th $9–$360%10%10th90th$16Professionalmedian $9 · 10th–90th $9–$190%50%10th90th$9$2.0$5.0$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
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $9.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.59 / $23.99 / $40.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $21.88 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $17.38 / $19.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.47 / $15.14
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $17.78 / $23.99