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New Jersey 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 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $60.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $14.13 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $6,309.57 / $6,309.57
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $14.13 / $14.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $15.85 / $23.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $15.85