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Oregon 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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $25.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.66 / $20.66 / $20.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $13.36 / $20.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,910.16 / $55,799.44 / $116,998.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.44 / $25.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.34 / $13.36 / $27.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.14 / $10.99 / $25.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.95 / $30.95 / $40.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.99 / $12.53 / $12.53