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Wisconsin rates for HCPCS Q2034

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $14.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $14.18 / $14.18
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $23.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $65.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $15.75 / $25.20