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Maine 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
$65.58 / $65.58 / $69.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.20 / $76.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.86 / $93.97 / $245.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $69.62 / $69.62
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $89.51 / $137.31
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.58 / $65.58 / $65.58
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.20 / $79.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $77.36 / $116.04