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Oklahoma 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
$48.66 / $63.84 / $112.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.75 / $74.75 / $76.14
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 / $76.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $77.36 / $305.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $85.10 / $92.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $74.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $82.90 / $92.83