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Tennessee 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 / $26.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $16.30
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 / $13.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.19 / $100.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $13.38 / $15.79