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Utah 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
Facility
Modifier
Low / Median / High Price
$28.97 / $28.97 / $28.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $28.97 / $28.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.94 / $31.94 / $31.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.47 / $46.17 / $50.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.76 / $36.59 / $38.86