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California rates for HCPCS 90656

Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $53.70 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $30.20 / $70.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $95.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $29.51 / $61.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $24.55 / $46.77
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $23.44 / $33.88
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $30.20 / $64.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $25.70 / $51.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $31.62 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $33.11 / $61.66
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $25.70 / $39.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $38.02 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $51.29