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New York 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 / $20.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $24.00
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $14.84 / $62.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.36 / $22.78 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $13.36 / $22.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $15.60
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $15.60
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $14.84 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $17.00 / $17.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $20.47
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.82 / $14.97 / $14.97
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $14.60 / $14.97