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Wisconsin rates for HCPCS 90655

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

Facilitymedian $16 · 10th–90th $13$310%50%10th90th$16Professionalmedian $20 · 10th–90th $16$380%20%40%10th90th$20$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 / $16.22 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $27.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $30.90 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $21.88 / $28.18
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.79 / $21.38
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $14.79 / $21.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $19.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $54.95 / $85.11
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.80
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $31.62 / $43.65
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $100.00 / $100.00
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $22.91 / $51.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $21.38