go back

Washington rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.45 / $143.56 / $395.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.49 / $98.16 / $142.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $115.76 / $172.34
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $79.09 / $103.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $96.58 / $215.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $94.52 / $173.28
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.74 / $112.81 / $203.68
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.18 / $83.49 / $92.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.09 / $115.76 / $126.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.09 / $79.09 / $79.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.20 / $196.20 / $196.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $97.44 / $103.48