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Texas rates for HCPCS 90655

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use

Facilitymedian $25 · 10th–90th $12–$690%5%10%10th90th$25Professionalmedian $19 · 10th–90th $16–$200%20%10th90th$19$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.95 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $22.39
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $36.31 / $69.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.30 / $12.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.79 / $14.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.95 / $28.84
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $27.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $19.05 / $28.84
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $12.59 / $12.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $12.88 / $21.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.14 / $15.85