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North Carolina 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 / $17.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $25.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.38 / $48.38 / $48.38
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 / $14.84
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $17.28 / $18.51
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $16.05
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $100.00 / $100.00