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New Hampshire rates for HCPCS Q2036

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.02 / $9.02 / $10.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.57 / $8.57 / $8.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $8.57 / $8.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.00 / $13.93 / $26.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.77 / $18.77 / $21.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $9.22 / $13.55