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Ohio 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
$53.84 / $80.50 / $117.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $119.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $135.11 / $206.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $69.62 / $123.77
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.44 / $104.44 / $177.55
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $77.36 / $104.44
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 / $119.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $119.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.09 / $96.70 / $112.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $81.43 / $100.09