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Virginia 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 / $27.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $15.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $22.03 / $35.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.40 / $9.40 / $9.40
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.28 / $16.25 / $24.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $26.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.99 / $16.89
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $10.44 / $13.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.88 / $10.44 / $13.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $12.53