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New Jersey 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
$18.67 / $45.50 / $72.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $18.68 / $18.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.45 / $21.71 / $23.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $13,785.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $19.78 / $19.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.17 / $19.17 / $19.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $21.98 / $24.64