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Ohio 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 / $19.70 / $48.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $44.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.58 / $24.00 / $36.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.49 / $11.49 / $17.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.49 / $11.49 / $14.18
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 / $22.01
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $22.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $13.38 / $17.72