go back

Arizona rates for HCPCS 90694

Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.89 / $75.66 / $82.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.20 / $71.68 / $100.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.76 / $242.15 / $383.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.79 / $65.14 / $431.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $87.99 / $98.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $87.42 / $92.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $87.42 / $92.83