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Vermont 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
$4.27 / $4.27 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $46.77 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $33.11 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $21.88 / $25.12