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Washington rates for HCPCS 90694

Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use

Facilitymedian $81 · 10th–90th $47–$1660%10%10th90th$81Professionalmedian $76 · 10th–90th $69–$2040%20%10th90th$76$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $79.43 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $75.86 / $204.17
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $229.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $144.54 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $114.82 / $177.83
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $147.91 / $213.80
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $81.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $251.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $93.33
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $100.00