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Idaho rates for HCPCS Q2039

Influenza Virus Vaccine Not Otherwise Specified (Desc Rvsd 1/1/17) Older For Intramuscular Use (Not Otherwise Specified)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $17.59 / $23.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.08 / $38.86 / $38.86