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Pennsylvania rates for HCPCS Q2034

Influenza virus vaccine, split virus, for intramuscular use (Agriflu)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.72 / $14.96 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $14.96 / $14.96
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.60 / $9.60 / $9.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.37 / $29.93 / $29.93
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.37 / $11.37 / $29.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $28.82