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Missouri 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
$41.45 / $54.38 / $75.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.43 / $69.22 / $81.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $115.57 / $277.88
Anthem 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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $81.43 / $305.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $82.62 / $93.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $93.56