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Kentucky 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
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $20.53
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.55 / $14.73 / $14.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.39 / $24.00 / $24.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.06 / $11.42 / $19.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.06 / $11.61 / $15.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $17.23 / $60.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $16.20