go back

Georgia 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
$40.34 / $61.92 / $184.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $121.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.76 / $79.23 / $283.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $69.62 / $69.62
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $71.25 / $139.65
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $78.00 / $266.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $96.70