go back

Washington rates for HCPCS 90655

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

Facilitymedian $19 · 10th–90th $12–$260%20%10th90th$19Professionalmedian $16 · 10th–90th $16–$200%50%90th$16$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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $19.95
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $38.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $25.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $19.50 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $13.49 / $16.22
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $22.39