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Montana rates for HCPCS Q2038

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.67 / $13.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.36 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $35.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $11.97 / $16.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $35.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.87 / $15.04 / $23.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.15 / $58.15 / $61.75