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Tennessee 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
$42.48 / $52.05 / $64.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $20.55
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.58 / $90.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $20.88 / $24.64