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North Dakota 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 / $87.25 / $87.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.67 / $18.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.26 / $21.26 / $26.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $18.68 / $31.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.98 / $22.97 / $22.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $22.97 / $23.59