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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
$69.18 / $74.13 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $72.44 / $204.17
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $165.96 / $234.42
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $162.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $77.62 / $141.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $165.96 / $234.42
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $74.13 / $81.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $81.28 / $114.82