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Maryland 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
$19.50 / $41.69 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $23.44 / $46.77
CareFirst
Facility/Professional
Professional
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $24.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $23.44 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $23.99 / $25.12
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39