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New Hampshire 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 / $28.97 / $28.97
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.10 / $55.03 / $146.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.14 / $29.14 / $29.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.97 / $52.59 / $99.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.37 / $32.38 / $37.24
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.92 / $34.92 / $3,000.00