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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

Facilitymedian $19 · 10th–90th $15–$280%20%10th90th$19Professionalmedian $16 · 10th–90th $16–$180%50%90th$16$10.0$20.0$50.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $29.51
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $16.22 / $23.44
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $26.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $28.18
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $32.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.14 / $18.62