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North Dakota 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
$69.22 / $75.30 / $80.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.43 / $69.20 / $69.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.83 / $78.83 / $98.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $69.22 / $207.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $85.10 / $85.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.72 / $85.10 / $87.42