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Indiana rates for HCPCS 90657

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

Facilitymedian $17 · 10th–90th $11–$260%20%10th90th$17Professionalmedian $11 · 10th–90th $10–$190%50%10th90th$11$5.0$10.0$20.0

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
$10.96 / $10.96 / $26.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $22.39
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $24.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $19.05
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $16.60 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $21.88 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.48 / $13.49