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Missouri 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
$18.68 / $32.97 / $56.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $25.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $31.35 / $75.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $21.98 / $21.98
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
$19.43 / $23.08 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $22.30 / $25.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $21.98 / $25.06