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Washington rates for HCPCS 90687

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use

Facilitymedian $15 · 10th–90th $9–$250%20%10th90th$15Professionalmedian $9 · 10th–90th $9–$230%50%90th$9$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $19.95 / $24.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $22.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $19.95 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $50.12
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $10.47
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.95 / $28.84
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $10.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.77 / $10.23 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.96 / $12.59
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $13.49