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West 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
$8.91 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.23 / $10.23 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $48.98 / $48.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.77 / $9.77 / $9.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $10.96 / $13.18