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Ohio rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.81 / $107.97 / $110.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.47 / $98.16 / $138.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.01 / $171.44 / $281.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $75.14 / $143.31
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.16 / $122.70 / $147.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.16 / $127.61 / $235.58
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 / $103.33
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.89 / $84.89 / $92.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $103.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.83 / $116.88 / $142.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.92 / $97.44 / $112.96