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Maine 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
$23.44 / $28.84 / $173.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $28.18 / $42.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $26.92 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $26.92 / $30.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.44 / $28.18 / $173.78
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $25.12 / $38.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $36.31