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Wisconsin rates for HCPCS 90694

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

Facilitymedian $78 · 10th–90th $69–$1910%20%10th90th$78Professionalmedian $71 · 10th–90th $66–$1290%20%40%10th90th$71$20.0$50.0$100.0$200.0$500.0$1.0K

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
$69.18 / $69.18 / $186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $154.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $144.54 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $190.55 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $141.25
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $77.62 / $77.62
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $74.13 / $77.62
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $93.33
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $81.28 / $93.33
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $173.78
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $75.86 / $245.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $104.71 / $128.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $74.13 / $74.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $81.28 / $123.03