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Nebraska 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 / $21.98 / $39.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $27.14 / $41.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.09 / $23.64 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.46 / $23.39 / $23.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $21.26 / $26.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $35.49 / $90.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $22.97 / $25.06
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.40 / $25.05 / $28.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $25.68 / $45.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $22.97 / $24.64