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Wisconsin 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
Professional
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $18.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $19.95 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $9.33 / $10.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $8.51 / $8.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $8.51 / $16.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $28.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $15.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $18.62 / $30.90