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Wisconsin 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 / $19.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.20 / $19.20 / $19.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.74 / $39.22 / $40.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $17.00 / $25.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.89 / $44.68 / $63.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $27.43 / $31.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $18.23 / $24.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $18.23 / $24.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $38.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.69 / $42.69 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $18.23 / $24.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $27.00 / $44.34
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.89 / $11.89 / $11.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.75 / $25.61 / $27.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.74 / $25.74 / $38.61