go back

Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$12.68 / $12.68 / $21.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.68 / $13.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.17 / $24.90 / $8,639.91
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.66 / $23.66 / $23.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.97 / $11.97 / $11.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $11.97 / $11.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.68 / $12.68 / $21.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.67 / $12.68 / $37.65
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.97 / $11.97 / $11.97
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $11.97 / $11.97
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.04 / $12.04 / $13.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.04 / $12.04 / $13.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.07 / $48.07 / $48.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $51.46 / $64.33