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Indiana 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
$69.22 / $98.12 / $164.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $90.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $135.96 / $180.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.17 / $69.62 / $98.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.31 / $95.31 / $127.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.31 / $95.31 / $119.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.56 / $76.14 / $209.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $116.04 / $116.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $92.83