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New Jersey 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
$66.40 / $69.22 / $135.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $69.22 / $69.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.26 / $75.59 / $83.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $8,702.00 / $13,785.00
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.29 / $73.29 / $83.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.00 / $61.00 / $61.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $91.28