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West Virginia rates for HCPCS 90694

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $89.88 / $105.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.20 / $69.22 / $155.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.44 / $104.44 / $44,999.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.22 / $76.14 / $76.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $103.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.36 / $81.43 / $98.78