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Vermont 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
$5.03 / $5.03 / $5.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $76.14 / $100.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.06 / $174.06 / $174.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.06 / $174.06 / $174.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.48 / $81.43 / $125.26