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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $19.05 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $19.05
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.22 / $11.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.88 / $22.39 / $22.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $19.95 / $24.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.45 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $13.80 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.49 / $15.85