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Arizona rates for HCPCS 90655

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

Facilitymedian $13 · 10th–90th $13–$260%50%90th$13Professionalmedian $16 · 10th–90th $16–$280%50%90th$16$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $56.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $18.62 / $26.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.14 / $16.22