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Pennsylvania rates for HCPCS 90654

Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.92 / $19.30 / $21.95
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $18.92 / $21.95