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Iowa 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
Facility
Modifier
Low / Median / High Price
$15.85 / $16.22 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $15.85
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.42 / $43.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $21.88 / $30.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $28.18
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $30.90 / $30.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $28.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $16.22