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Ohio rates for HCPCS 90689

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $135.00 / $138.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $137.00 / $143.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.00 / $26.00 / $41.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.77 / $30.77 / $59,702.01