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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
$15.85 / $15.85 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $19.95 / $30.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $26.30 / $26.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $16.22 / $23.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $16.22 / $18.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $19.50 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $22.91 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.22 / $18.62