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Wisconsin rates for HCPCS 90654

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $41.69 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $19.50 / $21.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $194.98 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $19.95 / $19.95