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Wisconsin rates for HCPCS 90653

Iiv Adjuvanted Vaccine For Intramuscular Use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.16 / $147.24 / $196.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $98.16 / $151.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.60 / $211.04 / $218.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $75.14 / $122.70
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.06 / $157.06 / $205.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.58 / $202.65 / $289.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.60 / $136.19 / $154.78
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $83.49 / $215.99
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.32 / $196.32 / $196.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $83.49 / $183.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.36 / $88.03 / $196.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $83.49 / $98.49
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.49 / $83.49 / $215.99
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.32 / $196.32 / $196.32
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $139.32 / $283.80
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.50 / $150.50 / $150.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.58 / $96.58 / $96.58
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.94 / $137.82 / $137.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.23 / $97.44 / $137.97