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Minnesota 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 / $16.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $17.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $25.70 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.38 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $42.66 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.49 / $16.22
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.88 / $40.74 / $47.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $17.38 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.79 / $17.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.79 / $19.95