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North Dakota 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 / $16.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $12.88 / $15.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.45 / $14.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $14.79 / $14.79