go back

Maryland 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 / $16.22 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $34.67
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $15.85 / $25.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $13.49 / $15.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $15.49 / $15.49