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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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $37.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $26.30 / $51.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $13.49 / $16.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $33.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.72 / $21.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $23.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $26.30 / $51.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $13.49 / $16.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.88 / $27.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $19.95