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Utah 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
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.55 / $14.76 / $17.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.92 / $11.80 / $12.53