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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
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $17.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $24.81 / $40.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.79 / $17.23 / $18.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.60 / $40.61 / $49.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.33 / $16.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.36 / $37.06 / $46.51
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.75 / $17.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $16.80 / $27.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $14.72 / $17.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $14.72 / $17.77