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Washington, DC rates for HCPCS 90657

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $13.49
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $16.98 / $35.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $9.33 / $10.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.47 / $10.47 / $10.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $11.48 / $13.80