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New Jersey 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 / $9.34 / $9.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.34 / $9.34 / $9.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.23 / $10.86 / $11.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $9.89 / $9.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.58 / $9.58 / $12.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $12.32