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Adjuvanted Four-Strain Flu Vaccine

West Virginia rates for HCPCS 90694

A flu shot that protects against four strains of influenza and contains an added ingredient designed to produce a stronger immune response to it. It is given as an injection into the muscle of the upper arm, and this stronger-response version is generally offered to older adults, whose response to a standard flu shot is weaker. The charge covers the vaccine itself; giving the shot is billed separately.

Rates data updated July 2026.

How much does Adjuvanted Four-Strain Flu Vaccine cost?

$81.28

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $81.28 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $93.33 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$77.62$69.18 to $126
FacilityA hospital or hospital-owned outpatient department$93.33$81.28 to $100

How much rates vary

Facilitymedian $93 · 10th to 90th $74 to $105Professionalmedian $78 · 10th to 90th $69 to $170
$100facility $93professional $78

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$93.33
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$75.86
Typical High
$169.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$77.62
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$69.18
Median
$69.18
Typical High
$70.79
United
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$81.28
Typical High
$97.72

Where West Virginia sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 10th of 51

$81.28

AK $100CT $69.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.