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Arizona rates for HCPCS 90657

Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.49
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.55 / $30.90 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $20.89 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.12 / $11.48 / $27.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $11.75 / $12.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.75 / $12.02