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Wisconsin 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.00 / $13.00 / $15.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.24 / $91.91 / $130.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $39.40 / $47.81
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.89 / $16.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $34.08 / $51.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.59 / $16.59 / $16.59
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.96 / $20.92 / $31.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.38 / $34.08 / $51.81