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Louisiana 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 / $46.77 / $69.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.91 / $34.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.62 / $23.44 / $28.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $39.81
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
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.99 / $25.12