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Pennsylvania 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 / $23.72 / $30.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $20.88 / $37.89
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.07 / $22.45 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.33 / $21.33 / $21.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.68 / $18.68 / $31.57
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.68 / $21.48 / $45.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.01 / $44.66 / $74.25
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.65 / $20.65 / $20.65
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.48 / $20.89 / $23.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.48 / $20.48 / $23.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $21.98 / $27.48