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Illinois 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
$50.49 / $80.98 / $193.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $96.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,603.60 / $4,622.80 / $8,200.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.80 / $79.80 / $79.80
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.31 / $98.35 / $169.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
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 / $84.81 / $92.83