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New York 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
$9.33 / $9.34 / $11.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.35 / $8.35 / $10.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.23 / $9.40 / $13.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $10.07 / $41.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.89 / $16.25 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.89 / $9.89 / $13.49
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $10.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.07 / $10.07 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $11.16 / $16.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $15.80
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.68 / $9.68 / $9.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $9.68 / $10.44