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Massachusetts 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
$62.13 / $69.22 / $255.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.80 / $69.22 / $107.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $162.86 / $236.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $95.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.77 / $100.00 / $221.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $81.43 / $81.43
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
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.76 / $77.36 / $160.66
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.99 / $87.99 / $162.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $116.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $108.31