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Wisconsin rates for HCPCS 90654

Influenza Vacc Iiv3 Split Virus Prsrv Free Id

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.97 / $40.65 / $42.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.66 / $41.45 / $58.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.25 / $17.77 / $21.56
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $25.00 / $25.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.80 / $193.80 / $193.80