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Virginia 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 / $15.85 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $16.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.49 / $19.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $14.79 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.88 / $21.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $16.98