go back

Louisiana 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
$62.14 / $69.93 / $83.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $76.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $77.36 / $116.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $77.36 / $78.91
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $81.43 / $92.83