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Idaho 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
$64.06 / $82.37 / $84.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $77.36
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $73.37 / $98.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.76 / $115.85 / $165.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $92.83 / $92.83