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Arizona rates for HCPCS 90688

Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.36 / $37.36 / $59.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $20.88 / $44.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.21 / $65.34 / $103.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.09 / $17.57 / $116.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $26.58 / $26.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $23.59 / $25.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $23.59 / $25.06