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Washington 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 / $16.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $16.30 / $20.53
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $20.77 / $42.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.84 / $14.84 / $39.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.99 / $13.99 / $55.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.99 / $13.99 / $13.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.45 / $25.76 / $26.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $19.47 / $36.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.38 / $15.12 / $16.05