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Wyoming 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
$61.29 / $61.29 / $61.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.43 / $71.68 / $77.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $81.43 / $81.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.14 / $76.14 / $76.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.43 / $87.42 / $92.83