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Montana rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.84 / $131.84 / $131.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $98.15 / $118.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.30 / $95.30 / $175.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.30 / $96.58 / $96.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.30 / $95.30 / $175.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $106.49 / $138.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $97.44 / $103.48