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Montana rates for HCPCS Q2035

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (AFLURIA)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $19.19 / $21.12
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.86 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $40.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $18.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.39 / $18.39 / $40.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $18.39 / $24.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.09 / $29.09 / $30.89