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New York 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 / $18.68 / $41.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $19.14 / $27.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.70 / $16.70 / $20.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $27.64
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $19.91 / $19.91
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.91 / $19.91 / $19.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.54 / $20.13 / $79.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.78 / $32.51 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.78 / $19.78 / $26.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $19.36 / $19.36
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $19.36 / $20.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.13 / $20.13 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $20.65 / $27.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $21.98 / $31.60
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.36 / $19.36 / $19.36
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $19.36 / $20.88