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Washington 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 / $19.73 / $25.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.34 / $24.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $18.57 / $34.06
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $10.99 / $15.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.33 / $10.33 / $37.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.33 / $10.33 / $10.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.44 / $10.44 / $25.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.74 / $19.78 / $30.22
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.90 / $10.44 / $11.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.90 / $15.48 / $29.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.44 / $11.80 / $12.53