go back

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
$16.30 / $16.30 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $12.88 / $15.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $27.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $14.53 / $14.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $14.72 / $15.12