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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

Facilitymedian $36 · 10th–90th $19–$910%10%20%10th90th$36Professionalmedian $23 · 10th–90th $17–$360%50%10th90th$23$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $26.30 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.44 / $29.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $61.66 / $102.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.70 / $48.98 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $38.90 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $33.88