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Indiana 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
$8.94 / $18.68 / $44.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $37.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $36.88 / $48.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $28.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.07 / $34.45 / $30,524.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.07 / $25.07 / $28.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.26 / $20.65 / $56.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $21.98 / $25.06