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Massachusetts 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
$14.47 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $19.89
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $26.19 / $100.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $13.38 / $18.73
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.95 / $21.17 / $46.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.10 / $10.70 / $21.41
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $14.10 / $29.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $26.19 / $100.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $20.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $18.73