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Oklahoma 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
$16.98 / $17.78 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $17.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $14.79 / $14.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $17.78 / $26.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.45 / $16.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $14.45 / $16.22