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Idaho 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
$16.30 / $16.30 / $17.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $16.30 / $23.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $18.53 / $18.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.32 / $19.47 / $28.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $16.05 / $45.51