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Utah 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
$51.45 / $76.29 / $155.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $71.68 / $90.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.05 / $110.44 / $111.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $87.42 / $92.83