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Pennsylvania rates for HCPCS Q2035

Influenza Virus Vaccine Split Virus When Administered To Individuals 3 Years Of Age Or Older For Intramuscular Use (Afluria)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $19.20 / $32.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $19.20 / $19.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $25.74 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.45 / $24.45 / $24.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.20 / $19.20 / $32.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.19 / $19.20 / $23.04
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.23 / $18.23 / $18.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $32.18