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Washington rates for HCPCS 90689

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

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $42.90 / $42.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00