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Kansas rates for HCPCS 90655

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use

Facilitymedian $22 · 10th–90th $16–$380%10%20%10th90th$22Professionalmedian $16 · 10th–90th $16–$190%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
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.05 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.05
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $22.39 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $19.95 / $24.55
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $14.45 / $16.22
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $12.88 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $15.85