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Nebraska rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.59 / $75.06 / $205.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.72 / $98.16 / $119.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.46 / $111.13 / $256.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.79 / $105.56 / $111.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $96.58 / $106.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.67 / $77.33 / $186.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.36 / $82.90 / $94.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.73 / $81.55 / $100.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.73 / $96.13 / $151.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $94.85 / $103.33