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Nebraska rates for HCPCS 90694

Aiiv4 Vacc Inactivated Prsrv Fr 0.5ml Dos Im Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.05 / $56.10 / $74.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.00 / $77.36 / $127.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.44 / $87.58 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.20 / $86.70 / $87.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $78.83 / $98.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $77.36 / $305.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $85.10 / $92.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.08 / $92.83 / $95.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.08 / $95.15 / $159.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.19 / $88.19 / $88.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $85.10 / $116.04