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Iowa rates for HCPCS 90689

Influenza virus vaccine quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $41.69