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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
$17.60 / $17.60 / $38.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.60 / $17.60 / $17.93
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 / $14.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.95 / $17.60 / $26.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $14.55 / $16.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.71 / $14.34 / $16.05