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Montana rates for HCPCS 90756

Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.96 / $30.58 / $42.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.98 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $51.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $51.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.00 / $51.00 / $51.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.74 / $34.22 / $56.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.59 / $36.59 / $38.86