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Oregon 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 / $26.92 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $20.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $28.18 / $28.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $32.36 / $33.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $19.50 / $34.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.50 / $26.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $25.70 / $26.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $23.44 / $3,311,311.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $79.43 / $79.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $33.88 / $52.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $15.14 / $16.22