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Maryland 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
$35.94 / $72.76 / $667.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.43 / $69.22 / $77.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $69.22 / $69.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $87.42
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $77.36 / $77.36