| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $19.05 | $19.05 | $19.05 |
Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal use
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Pacific Source
| Facility | $19.05 | $19.05 | $19.05 |