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New Hampshire 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
$19.05 / $26.30 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $23.44 / $31.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $61.66 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $20.89 / $23.99
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 / $38.90 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $25.12