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North Carolina 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
$65.70 / $76.14 / $158.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $71.68 / $108.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.81 / $168.49 / $189.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
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 / $81.43
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.68 / $75.98 / $89.57
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.02 / $86.02 / $86.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $77.36 / $77.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $91.28
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.99 / $103.53 / $162.86