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Montana rates for HCPCS 90688

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $26.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.46 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.75 / $33.13 / $36.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $33.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.75 / $33.13 / $36.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.32 / $23.28 / $37.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.59 / $23.59 / $25.06