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Maine rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.53 / $174.53 / $174.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $98.15 / $118.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.99 / $119.23 / $311.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $75.14 / $75.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $113.57 / $174.22
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.53 / $174.53 / $174.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.15 / $98.15 / $143.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $86.23 / $129.35