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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
$16.30 / $57.35 / $60.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $27.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.94 / $15.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.97 / $19.69 / $42.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.59 / $22.03 / $29.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $15.12 / $27.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $25.10 / $31.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $25.10 / $28.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $15.12 / $15.79