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Connecticut rates for HCPCS 90694

Aiiv4 Vacc Inactivated Prsrv Fr 0.5ml Dos Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.75 / $69.22 / $99.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $69.22 / $69.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.48 / $103.34 / $203.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $69.62 / $69.62
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
ConnectiCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.29 / $73.29 / $73.29
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $89.57 / $107.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $77.36 / $85.10