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Texas 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
$49.94 / $81.43 / $167.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $81.43 / $100.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.82 / $43.56 / $84.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.70 / $73.70 / $73.70
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.99 / $162.86 / $305.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.36 / $81.43 / $116.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.14 / $76.14 / $116.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.38 / $71.38 / $71.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $91.28 / $91.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.62 / $69.62 / $104.44