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Alaska rates for HCPCS 90655

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $23.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $17.38 / $60.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $24.55 / $34.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.85 / $60.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $25.70