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Virginia 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 / $70.28 / $129.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.67 / $18.68 / $34.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $44.06 / $70.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.57 / $32.51 / $49.05
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.88 / $21.98 / $32.06
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.77 / $20.88 / $27.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.77 / $20.88 / $27.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.88 / $21.98 / $25.06